Provider Demographics
NPI:1649308958
Name:MONARCH MED SPA, INC.
Entity type:Organization
Organization Name:MONARCH MED SPA, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-337-7662
Mailing Address - Street 1:200 N. WARNER ROAD
Mailing Address - Street 2:SUITE 121
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406
Mailing Address - Country:US
Mailing Address - Phone:610-337-7662
Mailing Address - Fax:610-337-7663
Practice Address - Street 1:200 N WARNER RD
Practice Address - Street 2:SUITE 121
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-2886
Practice Address - Country:US
Practice Address - Phone:610-337-7662
Practice Address - Fax:610-337-7663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty