Organization · NPI-2

100plus Clinic PC

Family Medicine · Bala Cynwyd, PA

NPI number1043013246
StatusActive
Last updated in NPPESOct 28, 2025

Details

NPI
1043013246
Entity type
Organization (NPI-2)
Legal business name
100plus Clinic PC
Organization subpart
No
Enumeration date
Mar 31, 2025
Certification date
Oct 28, 2025
Last updated
Oct 28, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

3 Bala Plz W Ste 200
Bala Cynwyd, PA 19004-3478

Phone 215-292-6966

Mailing address

Po Box 23736
Nashville, TN 37202-3736

Authorized official

Peter Michael Litchfield
Physician
4234264188

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