Provider Demographics
NPI:1952036006
Name:HR PHYSICIAN SERVICES
Entity Type:Organization
Organization Name:HR PHYSICIAN SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR DIRECTOR FINANCE OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:TARA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-938-4682
Mailing Address - Street 1:667 WELSH RD FL 2
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-6309
Mailing Address - Country:US
Mailing Address - Phone:215-938-4682
Mailing Address - Fax:
Practice Address - Street 1:821 HUNTINGDON PIKE STE 140
Practice Address - Street 2:
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-8368
Practice Address - Country:US
Practice Address - Phone:215-914-4190
Practice Address - Fax:215-914-4197
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HR PHYSICIAN SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-07-22
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty