Organization · NPI-2
Clinical Specialty Associates
Hospitalist · Bala Cynwyd, PA
NPI number1619767480
StatusActive
Last updated in NPPESMay 7, 2025
Details
- NPI
- 1619767480
- Entity type
- Organization (NPI-2)
- Legal business name
- Clinical Specialty Associates
- Organization subpart
- No
- Enumeration date
- May 7, 2025
- Certification date
- May 7, 2025
- Last updated
- May 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | – | – | Yes |
Practice location
150 Monument Rd Fl 4Bala Cynwyd, PA 19004-1702
Phone 610-902-1738
Mailing address
150 Monument Rd Fl 4Bala Cynwyd, PA 19004-1702
Phone 610-902-1738
Authorized official
Stacy Greco
Payer Enrollment Manager
2233418516
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