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NPI Code Detail

MEDICARE: PATIENT FIRST PENNSYLVANIA MEDICAL GROUP PLLC

MEDICARE: PATIENT FIRST PENNSYLVANIA MEDICAL GROUP PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QU0200XUrgent Care Clinic/Center
2207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1265967608
Entity Type Code : Organization
Provider Name (Legal Business Name) : PATIENT FIRST PENNSYLVANIA MEDICAL GROUP PLLC
Provider Business Mailing Address
First Line : 5000 COX RD
Second Line :
City : GLEN ALLEN
State : VA
Zip : 23060-9263
Country : US
Telephone Number : 804-822-4355
Fax Number :
Provider Business Practice Location Address
First Line : 1411 S. COLLEGEVILLE ROAD
Second Line :
City : COLLEGEVILLE
State : PA
Zip : 19426-2957
Country : US
Telephone Number : 484-902-1893
Fax Number : 484-902-1894
Authorized Official
Title or Position : PRESIDENT
Name : MR. GEORGE H. MORISON
Credential :
Telephone Number : 804-968-5700
Provider Enumeration Date : 04/24/2017
Last Update Date : 01/27/2025

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