Organization · NPI-2

Clinical Specialty Associates

Internal Medicine · Bala Cynwyd, PA

NPI number1912711524
StatusActive
Last updated in NPPESAug 1, 2025

Details

NPI
1912711524
Entity type
Organization (NPI-2)
Legal business name
Clinical Specialty Associates
Organization subpart
No
Enumeration date
Feb 4, 2025
Certification date
Aug 1, 2025
Last updated
Aug 1, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes

Practice location

150 Monument Rd Fl 4
Bala Cynwyd, PA 19004-1702

Phone 610-902-1738

Mailing address

150 Monument Rd Fl 4
Bala Cynwyd, PA 19004-1702

Authorized official

Stacy Greco
Enrollment Manager
2233418516

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