Provider Demographics
NPI:1770034191
Name:R-HEALTH PRIMARY CARE MEDICAL HOME LLC
Entity Type:Organization
Organization Name:R-HEALTH PRIMARY CARE MEDICAL HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:WEINBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-600-4590
Mailing Address - Street 1:210 YORKTOWN PLZ
Mailing Address - Street 2:
Mailing Address - City:ELKINS PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-1424
Mailing Address - Country:US
Mailing Address - Phone:215-600-4590
Mailing Address - Fax:215-600-4599
Practice Address - Street 1:34 SCOTCH RD
Practice Address - Street 2:UNIT B1
Practice Address - City:EWING
Practice Address - State:NJ
Practice Address - Zip Code:08628-2528
Practice Address - Country:US
Practice Address - Phone:215-600-4590
Practice Address - Fax:215-600-4599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-20
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD068622L261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care