Avella Family Practice,Llc in Avella - Family Medicine

Avella Family Practice,Llc - NPI 1659455988

Avella Family Practice,Llc is a Family Medicine in Avella, Pennsylvania. Avella Family Practice,Llc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Avella Family Practice,Llc is 1659455988. The last update date is 2010-07-15.

Avella Family Practice,Llc's current location address is 9 Campbell Dr, Avella, Pennsylvania. You can contact this provider via phone number 7245873472 and fax number 7245875947. The mailing address for Avella Family Practice,Llc is 9 Campbell Dr, Avella, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Organization Avella Family Practice,Llc
Address 9 Campbell Dr, Avella, Pennsylvania
Phone Number 7245873472
Fax Number 7245875947
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Porbin Matthew Sean
Credentials M.D.
Telephone Number 7245873472

NPI Number Detail

NPI Number 1659455988
Provider Enumeration Date 2006-10-24
Last Updated Date 2010-07-15

Provider Mailing Address Detail

Address 9 Campbell Dr
City Avella
State Pennsylvania (PA)
Post Code 153122738
Phone Number 7245873472
Fax Number 7245875947

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No MD063186L
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1011626600001 PA --

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FAQs about Avella Family Practice,Llc

What is the unique 10-digit identification code issued to Avella Family Practice,Llc by the Centers for Medicare & Medicaid Services?

The Avella Family Practice,Llc has been assigned the NPI (National Provider Identifier) 1659455988 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Avella Family Practice,Llc is physically located?

The Avella Family Practice,Llc is situated at the following address: 9 Campbell Dr, Avella, PA 153122738.

What is Avella Family Practice,Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Avella Family Practice,Llc's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.

On what date did the Avella Family Practice,Llc receive its 1659455988 assignment from the Centers for Medicare & Medicaid Services?

The Avella Family Practice,Llc was assigned its 1659455988 by the Centers for Medicare & Medicaid Services on 2006-10-24.

As of what date were the details related to Avella Family Practice,Llc most recently updated or revised?

The information pertaining to Avella Family Practice,Llc, including its address, specialty, and other relevant details, was last updated or revised on 2010-07-15.

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