RESIDENTIALIST HOUSECALL MED GRP, PC A PENNSYLVANIA CORP

PHILADELPHIA, PA
NPI1104205400
Entity TypeOrganization
Authorized ContactNORMAN EDWARD VINN
CEO, CFO, And Secretary
949-366-1053
Organization Subpart ?No
Primary Taxonomy207QG0300X Family Medicine, Geriatric Medicine
(Licence: PA  OS017618)
Enumeration Date2015-05-20
Last Update Date2015-06-19
Business Address
RESIDENTIALIST HOUSECALL MED GRP, PC A PENNSYLVANIA CORP
4190 CITY AVE PCOM - ROWLAND HALL, ROOM 528
PHILADELPHIA, PA 19131-1626
Phone number: 949-366-1053
Mailing Address
RESIDENTIALIST HOUSECALL MED GRP, PC A PENNSYLVANIA CORP
23181 VERDUGO DR SUITE 103A
LAGUNA HILLS, CA 92653-1357
Phone number: 949-366-1053
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