Organization · Type 2 NPI

Prospect Ccmc, LLC

Clinic/Center · Media, PA

NPI number 1740644053 Active

Practice location

710 S Middletown Rd
Media, PA 19063-5024

Fax (610) 447-6620

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1740644053

Prospect Ccmc, LLC's National Provider Identifier is 1740644053, issued on Apr 12, 2016. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Media, PA. The record was last updated on Jan 15, 2021.