| Organization Name: | HR PHYSICIAN SERVICES |
| NPI Number: | 1497158497 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RUSSELL WAGNER (CHIEF FINANCE OFFICER) |
| Mailing Address: | 1650 Huntingdon Pike Suite 112 Meadowbrook |
| State: | PA US |
| Postal Code: | 190468004 |
| Phone Number: | 2159383365 |
| Fax Number: | 2159383366 |
| NPI Enumeration Date: | 10/03/2014 |
| NPI Last Update Date: | 10/03/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | 434267 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |