Provider Demographics
NPI:1033108204
Name:NORTH WILLOW GROVE FAMILY MEDICINE PC
Entity Type:Organization
Organization Name:NORTH WILLOW GROVE FAMILY MEDICINE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:MEISINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-672-7070
Mailing Address - Street 1:2701 BLAIR MILL RD
Mailing Address - Street 2:SUITE 20
Mailing Address - City:WILLOW GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19090-1041
Mailing Address - Country:US
Mailing Address - Phone:215-672-7070
Mailing Address - Fax:215-672-6426
Practice Address - Street 1:2701 BLAIR MILL RD
Practice Address - Street 2:SUITE 20
Practice Address - City:WILLOW GROVE
Practice Address - State:PA
Practice Address - Zip Code:19090-1041
Practice Address - Country:US
Practice Address - Phone:215-672-7070
Practice Address - Fax:215-672-6426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty