Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Garnet Valley Sport & Spine Physical Medicine, Inc

Organization Internal Medicine Physician · NPI 1023420460

Garnet Valley Sport & Spine Physical Medicine, Inc is an Internal Medicine Physician in Garnet Valley, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2014.

Licensed in
PA
In the registry since
2014
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3039 Foulk Rd
Garnet Valley, PA 19060-1701
Phone: (610) 361-0070
Fax: (610) 361-0071
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence OS-008262-L (PA)

Record details

NPI number1023420460
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Martin — Owner · (610) 361-0070
NPI enumeratedMay 20, 2014
Last updated in NPPESMay 20, 2014
Mailing address3039 Foulk Rd, Garnet Valley, PA 19060-1701

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