Provider Demographics
NPI:1487233870
Name:R E A L CONCIERGE MEDICINE CO
Entity type:Organization
Organization Name:R E A L CONCIERGE MEDICINE CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:M
Authorized Official - Last Name:GUESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-277-5450
Mailing Address - Street 1:419 JOHNSON ST
Mailing Address - Street 2:
Mailing Address - City:JENKINTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19046-2705
Mailing Address - Country:US
Mailing Address - Phone:215-277-5450
Mailing Address - Fax:
Practice Address - Street 1:419 JOHNSON ST
Practice Address - Street 2:
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:19046-2705
Practice Address - Country:US
Practice Address - Phone:215-277-5450
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-05
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty