Healthcare Provider Details

I. General information

NPI: 1144460585
Provider Name (Legal Business Name): HR PHYSICIAN SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2009
Last Update Date: 02/25/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5600 TABOR RD
PHILADELPHIA PA
19120
US

IV. Provider business mailing address

1648 HUNTINGDON PIKE 1ST FLOOR BUSINESS OFFICE
MEADOWBROOK PA
19046-8001
US

V. Phone/Fax

Practice location:
  • Phone: 215-938-2134
  • Fax:
Mailing address:
  • Phone: 215-938-2040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHELE UROFSKY
Title or Position: EXECUTIVE VICE PRESIDENT
Credential:
Phone: 215-938-2021