Organization · Type 2 NPI

LTC Aco Participant 107, PC

Geriatric Medicine (Internal Medicine) Physician · Norristown, PA

NPI number 1780534818 Active

Practice location

1700 Pine St
Norristown, PA 19401-3040

Fax (610) 277-6239

Mailing address

PO Box 639676
Cincinnati, OH 45263-9676

Specialties and licenses

TaxonomyCodeLicense
Geriatric Medicine (Internal Medicine) Physician Primary 207RG0300XNone listed

Geriatric Medicine (Internal Medicine) Physician: An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

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About NPI 1780534818

LTC Aco Participant 107, PC's National Provider Identifier is 1780534818, issued on Jan 29, 2026. The primary taxonomy on file is Geriatric Medicine (Internal Medicine) Physician (207RG0300X), and the practice location is in Norristown, PA. The record was last updated on Aug 13, 2026.