Provider Demographics
NPI:1649035965
Name:COMMUNITIES SPECIALIZED HEALTHCARE AND WELLNESS PC
Entity type:Organization
Organization Name:COMMUNITIES SPECIALIZED HEALTHCARE AND WELLNESS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIEDRICH
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:484-472-5100
Mailing Address - Street 1:20 E CLEVELAND AVE
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19074-1207
Mailing Address - Country:US
Mailing Address - Phone:484-472-5100
Mailing Address - Fax:484-908-6744
Practice Address - Street 1:20 E CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:PA
Practice Address - Zip Code:19074-1207
Practice Address - Country:US
Practice Address - Phone:484-472-5100
Practice Address - Fax:484-908-6744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-15
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty