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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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician

General Provider Information

NPI Number : 1972029254
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 :
Provider Business Practice Location Address
First Line : 1500 LANSDOWNE AVE
Second Line :
City : DARBY
State : PA
Zip : 19023-1200
Country : US
Telephone Number : 610-237-4000
Fax Number :
Authorized Official
Title or Position : VP, FINANCE AND CFO
Name : JULIE KEESE
Credential :
Telephone Number : 301-754-7201
Provider Enumeration Date : 08/17/2017
Last Update Date : 03/13/2026

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

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