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NPI Code Detail

MEDICARE: CROMFORDHEALTH PC

MEDICARE: CROMFORDHEALTH PC
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
1174400000XSpecialist

General Provider Information

NPI Number : 1649006610
Entity Type Code : Organization
Provider Name (Legal Business Name) : CROMFORDHEALTH PC
Provider Business Mailing Address
First Line : 338 S SHARON AMITY RD # 326
Second Line :
City : CHARLOTTE
State : NC
Zip : 28211-2806
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7901 STATE RD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19136-3407
Country : US
Telephone Number : 800-729-0069
Fax Number :
Authorized Official
Title or Position : CMO
Name : JASON PERLMAN
Credential : MD
Telephone Number : 419-490-6509
Provider Enumeration Date : 09/09/2024
Last Update Date : 09/09/2024

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Directions to “CROMFORDHEALTH PC ” Practice Location

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