is a Family Medicine in Philadelphia, Pennsylvania. practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for is 1245341247. The last update date is .
's current location address is Po Box 820933, Philadelphia, Pennsylvania. You can contact this provider via phone number 2159269010 and fax number 2152268285. The mailing address for is Po Box 820933, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | Po Box 820933, Philadelphia, Pennsylvania |
| Phone Number | 2159269010 |
| Fax Number | 2152268285 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1245341247 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | Po Box 820933 |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191820933 |
| Phone Number | 2159269010 |
| Fax Number | 2152268285 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | MD035821L |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 612210 | PA | -- |
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