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NPI Code Detail

MEDICARE: TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP

MEDICARE: TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP
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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1871808006
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP
Provider Business Mailing Address
First Line : 41 UNIVERSITY DR STE 300
Second Line :
City : NEWTOWN
State : PA
Zip : 18940-1873
Country : US
Telephone Number : 734-343-2654
Fax Number : 215-710-5181
Provider Business Practice Location Address
First Line : 4595 NEW FALLS RD STE A
Second Line :
City : LEVITTOWN
State : PA
Zip : 19056-3004
Country : US
Telephone Number : 267-587-3700
Fax Number : 215-949-2650
Authorized Official
Title or Position : VP, FINANCE AND CFO
Name : KIMBERLY A CUMMINGS
Credential :
Telephone Number : 215-710-2508
Provider Enumeration Date : 08/12/2010
Last Update Date : 12/02/2024

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Directions to “TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP ” Practice Location

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