Nazereth Physician Services INC
Registered Nurse, Wound Care in Philadelphia, PA. Organization (NPI-2).
NPI number1003072166
StatusActive
Last updated in NPPESApr 20, 2021
Details
- NPI
- 1003072166
- Entity type
- Organization (NPI-2)
- Legal business name
- Nazereth Physician Services INC
- Organization subpart
- Yes
- Enumeration date
- Jul 29, 2008
- Certification date
- Apr 20, 2021
- Last updated
- Apr 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WW0000X | Registered Nurse, Wound Care | – | – | Yes |
Other names
- Nazareth Physician Services, INC. (Doing Business As)
Practice location
2601 Holme AvePhiladelphia, PA 19152-2007
Phone 215-335-6445 · Fax 215-335-6303
Mailing address
41 University Dr Ste 106Newtown, PA 18940-1873
Authorized official
John Caruso
President
2157102651
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