Life Change Health P.C.
Family Medicine in Wind Gap, PA. Organization (NPI-2).
NPI number1306332473
StatusActive
Last updated in NPPESJul 2, 2018
Details
- NPI
- 1306332473
- Entity type
- Organization (NPI-2)
- Legal business name
- Life Change Health P.C.
- Organization subpart
- No
- Enumeration date
- Jul 2, 2018
- Last updated
- Jul 2, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- A. B. Defranco Family And Alternative Medicine (Doing Business As)
Practice location
497 Bushkill Plaza Ln Ste BWind Gap, PA 18091
Phone 610-863-6767
Mailing address
497 Bushkill Plaza Ln Ste BWind Gap, PA 18091-9665
Phone 610-863-6767
Authorized official
Albert Basil Defranco
Physician/Owner
6108636767
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