| Organization Name: | MED CENTER 100 |
| NPI Number: | 1073731014 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHERYL MITMAN (OFFICE MANAGER) |
| Mailing Address: | 625 N. Pottstown Pike Exton |
| State: | PA US |
| Postal Code: | 19341 |
| Phone Number: | 6109030640 |
| Fax Number: | 6109030637 |
| NPI Enumeration Date: | 04/23/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QX0100X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Occupational Medicine |
| Taxonomy Definition: | |