Provider Demographics
NPI:1588152250
Name:DH PHYSICIANS AMBULATORY SERVICES
Entity type:Organization
Organization Name:DH PHYSICIANS AMBULATORY SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:VERCIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-370-5290
Mailing Address - Street 1:PO BOX 829779
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19182-9779
Mailing Address - Country:US
Mailing Address - Phone:267-370-5296
Mailing Address - Fax:215-230-3725
Practice Address - Street 1:847 EASTON RD STE 1400
Practice Address - Street 2:
Practice Address - City:WARRINGTON
Practice Address - State:PA
Practice Address - Zip Code:18976-2906
Practice Address - Country:US
Practice Address - Phone:215-345-2336
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DH PHYSICIANS AMBULATORY SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-04-27
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0800XAmbulatory Health Care FacilitiesClinic/CenterEndoscopy