Woodbourne Family Practice, L.L.C.
Family Medicine in Levittown, PA. Organization (NPI-2).
NPI number1144200023
StatusActive
Last updated in NPPESOct 21, 2009
Details
- NPI
- 1144200023
- Entity type
- Organization (NPI-2)
- Legal business name
- Woodbourne Family Practice, L.L.C.
- Organization subpart
- No
- Enumeration date
- Jan 18, 2006
- Last updated
- Oct 21, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
1609 Woodbourne RdSuite 101
Levittown, PA 19057-1500
Phone 215-945-1500 · Fax 215-945-9192
Mailing address
1609 Woodbourne RdSuite 101
Levittown, PA 19057-1500
Phone 215-945-1500 · Fax 215-945-9192
Authorized official
Richard H Goldhammer
President
2159451500
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