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39D1101000 CLIA NUMBER - CHESTNUT HILL FAMILY CARE

Laboratory Demographics

CLIA Number: 39D1101000

Facility Name: CHESTNUT HILL FAMILY CARE

Facility Address:
1000 EASTON RD, SUITE 260
WYNCOTE, PA
ZIP 19095
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Facility Phone Number: 215 884-8815

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1508936071

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 39D1101000
LAB Type Physician Office
Facility Name CHESTNUT HILL FAMILY CARE
Street 1000 EASTON RD, SUITE 260
City WYNCOTE
State PA
ZIP 19095
Phone 215 884-8815
CertificateType 3
CertificateEffectiveDate 11/29/2022
CertificateExpirationDate 11/28/2024
FacilityType PPMP

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This page was last updated on: 4/23/2024