Mt Airy Family Practice in Philadelphia - Family Medicine
Mt Airy Family Practice - NPI 1831104405
Mt Airy Family Practice is a Family Medicine in Philadelphia, Pennsylvania. Mt Airy Family Practice practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mt Airy Family Practice is 1831104405. The last update date is 2020-08-22.
Mt Airy Family Practice's current location address is 760 Carpenter Ln, Philadelphia, Pennsylvania. You can contact this provider via phone number 2158486880 and fax number 2158483333. The mailing address for Mt Airy Family Practice is 760 Carpenter Ln, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mt Airy Family Practice |
|---|---|
| Address | 760 Carpenter Ln, Philadelphia, Pennsylvania |
| Phone Number | 2158486880 |
| Fax Number | 2158483333 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGING P |
|---|---|
| Authorized Official Name | Lyon Thomas |
| Credentials | MD |
| Telephone Number | 2158486880 |
NPI Number Detail
| NPI Number | 1831104405 |
|---|---|
| Provider Enumeration Date | 2006-07-30 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 760 Carpenter Ln |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191193406 |
| Phone Number | 2158486880 |
| Fax Number | 2158483333 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | MD041004E |
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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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What is the Mt Airy Family Practice's unique identification number?
The Mt Airy Family Practice has been assigned the NPI (National Provider Identifier) Number 1831104405 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Mt Airy Family Practice?
The Mt Airy Family Practice is situated at 760 Carpenter Ln, in the city of Philadelphia, state of PA, with the zip code 191193406.
What is the Mt Airy Family Practice's area of specialization and corresponding taxonomy classification?
The Mt Airy Family Practice's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Mt Airy Family Practice receive its 1831104405 assignment from the Centers for Medicare & Medicaid Services?
The Mt Airy Family Practice was assigned its 1831104405 by the Centers for Medicare & Medicaid Services on 2006-07-30.
When was the information regarding Mt Airy Family Practice most recently updated?
The details pertaining to the Mt Airy Family Practice, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
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