Basic Information
| Provider Information | |||||||||
| NPI: | 1669771408 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | PHYSICIAN STAFFING SOLUTIONS, INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1555 BARDSEY DR | ||||||||
| Address2: | |||||||||
| City: | LOWER GWYNEDD | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190021546 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6102837007 | ||||||||
| FaxNumber: | 4844204347 | ||||||||
| Practice Location | |||||||||
| Address1: | 300 E MARSHALL ST | ||||||||
| Address2: | |||||||||
| City: | WEST CHESTER | ||||||||
| State: | PA | ||||||||
| PostalCode: | 193802470 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4848260400 | ||||||||
| FaxNumber: | 4848260499 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/18/2011 | ||||||||
| LastUpdateDate: | 03/18/2011 | ||||||||
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| AuthorizedOfficialLastName: | CURRAN | ||||||||
| AuthorizedOfficialFirstName: | SEAN | ||||||||
| AuthorizedOfficialMiddleName: | C | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 6102564493 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | Y | 193400000X SINGLE SPECIALTY GROUP | Other Service Providers | Specialist |
No ID Information.