PROHEALTH CLINIC NPI 1679156632

NPI Information

PROHEALTH CLINIC is a primary care clinic center in Bensalem, PA. PROHEALTH CLINIC NPI is 1679156632. The provider is registered as an organization entity type.

The provider's business location address is:

2742 KNIGHTS RD
BENSALEM, PA
ZIP 19020-526
Phone: (215) 244-9894
Fax: (215) 244-9896

The provider's authorized official is Sibi Mathew .
The authorized official title is Owner and has the following contact phone number (201) 417-3050.

The CLIA number assigned to this NPI record is 39D2271618 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/28/2021 and was last updated on 11/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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