Provider Demographics
NPI:1568026680
Name:SUPERVISORS OF UPPER MERION TOWNSHIP
Entity type:Organization
Organization Name:SUPERVISORS OF UPPER MERION TOWNSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIR
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:WAKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-992-0399
Mailing Address - Street 1:175 W VALLEY FORGE RD
Mailing Address - Street 2:
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-1851
Mailing Address - Country:US
Mailing Address - Phone:484-636-3919
Mailing Address - Fax:610-265-8467
Practice Address - Street 1:180 N HENDERSON RD
Practice Address - Street 2:
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-2123
Practice Address - Country:US
Practice Address - Phone:610-992-0399
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-24
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport