Healthcare Provider Details

I. General information

NPI: 1154321271
Provider Name (Legal Business Name): HR PHYSICIANS SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2005
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

735 FITZWATERTOWN ROAD SUITE 4
WILLOW GROVE PA
19090
US

IV. Provider business mailing address

12265 TOWNSEND ROAD
PHILADELPHIA PA
19154-1214
US

V. Phone/Fax

Practice location:
  • Phone: 215-914-4400
  • Fax: 215-657-4887
Mailing address:
  • Phone: 215-856-1010
  • Fax: 215-856-1060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number StatePA

VIII. Authorized Official

Name: TARA MARTIN
Title or Position: AVP
Credential:
Phone: 215-938-4682