Indepedence Medical Associates P.C. in Philadelphia - Family Medicine
Indepedence Medical Associates P.C. - NPI 1053348953
Indepedence Medical Associates P.C. is a Family Medicine in Philadelphia, Pennsylvania. Indepedence Medical Associates P.C. practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Indepedence Medical Associates P.C. is 1053348953. The last update date is 2008-10-27.
Indepedence Medical Associates P.C.'s current location address is 3790 Morrell Ave, Philadelphia, Pennsylvania. You can contact this provider via phone number 2156121450 and fax number 2156121420. The mailing address for Indepedence Medical Associates P.C. is 3790 Morrell Ave, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Indepedence Medical Associates P.C. |
|---|---|
| Address | 3790 Morrell Ave, Philadelphia, Pennsylvania |
| Phone Number | 2156121450 |
| Fax Number | 2156121420 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Glickman Jay |
| Telephone Number | 2156121450 |
NPI Number Detail
| NPI Number | 1053348953 |
|---|---|
| Provider Enumeration Date | 2006-06-27 |
| Last Updated Date | 2008-10-27 |
Provider Mailing Address Detail
| Address | 3790 Morrell Ave |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191141955 |
| Phone Number | 2156121450 |
| Fax Number | 2156121420 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | OS 009194-L |
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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 |
|---|---|---|---|
| 2222546001 | PA | KEYSTONE HMO ID |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Indepedence Medical Associates P.C. by the Centers for Medicare & Medicaid Services?
The Indepedence Medical Associates P.C. has been assigned the NPI (National Provider Identifier) 1053348953 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Indepedence Medical Associates P.C.?
The Indepedence Medical Associates P.C. is physically situated at 3790 Morrell Ave, in the city of Philadelphia, state of PA, with the postal code 191141955.
What is Indepedence Medical Associates P.C.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Indepedence Medical Associates P.C.'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 Indepedence Medical Associates P.C. receive its 1053348953 assignment from the Centers for Medicare & Medicaid Services?
The Indepedence Medical Associates P.C. was assigned its 1053348953 on 2006-06-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Indepedence Medical Associates P.C., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Indepedence Medical Associates P.C., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-10-27.
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