NPI 1164953998

Fullcircle Aesthetics LLC.

Organisation Health Maintenance Organization Ambler, PA

Practice location

Address: 125 Forest Ave APT 8-C, Ambler, PA 19002-5934
Phone: (215) 740-4213

Authorised official

Name: Tiffany S. Fennell
Title: Ower
Phone: (215) 740-4213

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence MSG005039 (PA)

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Registry record

NPI: 1164953998
Entity type: Organization
NPI issued: 23 Mar 2017
Record last updated: 23 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.