Organization · NPI-2
1977 Mesk
Family Medicine · Warminster, PA
NPI number1790636876
StatusActive
Last updated in NPPESFeb 5, 2026
Details
- NPI
- 1790636876
- Entity type
- Organization (NPI-2)
- Legal business name
- 1977 Mesk
- Organization subpart
- No
- Enumeration date
- Feb 5, 2026
- Certification date
- Feb 5, 2026
- Last updated
- Feb 5, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 207R00000X | Internal Medicine | – | – |
Other names
- Prohealth Family Care & Aesthetics (Doing Business As)
Practice location
605 Louis DrWarminster, PA 18974-2830
Phone 610-744-1919
Mailing address
605 Louis DrWarminster, PA 18974-2830
Authorized official
Ilona Osadze
Office Manager
6107441919
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