Seniorwell Pod Of Pennsylvania, LLC
Podiatrist in Philadelphia, PA. Organization (NPI-2).
NPI number1164071189
StatusActive
Last updated in NPPESSep 12, 2019
Details
- NPI
- 1164071189
- Entity type
- Organization (NPI-2)
- Legal business name
- Seniorwell Pod Of Pennsylvania, LLC
- Organization subpart
- No
- Enumeration date
- Sep 11, 2019
- Last updated
- Sep 12, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | – | – | Yes |
Other names
- Seniorwell Pod Of Pennsylvania, LLC (Doing Business As)
Practice location
2929 Arch St Ste 1700Philadelphia, PA 19104-7327
Phone 844-882-3127 · Fax 844-246-5875
Mailing address
2100 E Lake Cook Rd Ste 1000Buffalo Grove, IL 60089-1999
Phone 844-882-3127 · Fax 844-246-5875
Authorized official
John Maroney
Ceo
8448823127
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