Penn Executive Diagnostic Center, Inc. in Philadelphia - Internal Medicine

Penn Executive Diagnostic Center, Inc. - NPI 1639242399

Penn Executive Diagnostic Center, Inc. is a Internal Medicine in Philadelphia, Pennsylvania. Penn Executive Diagnostic Center, Inc. practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Penn Executive Diagnostic Center, Inc. is 1639242399. The last update date is 2020-08-22.

Penn Executive Diagnostic Center, Inc.'s current location address is 1801 Market St, Philadelphia, Pennsylvania. You can contact this provider via phone number 2155699500 and fax number 2155694839. The mailing address for Penn Executive Diagnostic Center, Inc. is 1801 Market St, Philadelphia, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Organization Penn Executive Diagnostic Center, Inc.
Address 1801 Market St, Philadelphia, Pennsylvania
Phone Number 2155699500
Fax Number 2155694839
Sole Proprietor --
Credentials --

Authorized Official

Title or Position VICE PRESI
Authorized Official Name Klein Sue Carol
Credentials BA, MA, MB
Telephone Number 2155699500

NPI Number Detail

NPI Number 1639242399
Provider Enumeration Date 2006-11-17
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 1801 Market St
City Philadelphia
State Pennsylvania (PA)
Post Code 191031628
Phone Number 2155699500
Fax Number 2155694839

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

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FAQs about Penn Executive Diagnostic Center, Inc.

What is the unique 10-digit identification code issued to Penn Executive Diagnostic Center, Inc. by the Centers for Medicare & Medicaid Services?

The Penn Executive Diagnostic Center, Inc. has been assigned the NPI (National Provider Identifier) 1639242399 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Penn Executive Diagnostic Center, Inc.'s physical address?

The Penn Executive Diagnostic Center, Inc. is physically located at 1801 Market St, in the city of Philadelphia, PA, with the postal code 191031628.

What is the area of specialization for Penn Executive Diagnostic Center, Inc., and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Penn Executive Diagnostic Center, Inc. is Internal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1639242399 to Penn Executive Diagnostic Center, Inc.?

The Centers for Medicare & Medicaid Services assigned the 1639242399 to Penn Executive Diagnostic Center, Inc. on 2006-11-17.

As of what date were the details pertaining to Penn Executive Diagnostic Center, Inc. last refreshed?

The information related to the Penn Executive Diagnostic Center, Inc., including its address, specialty, and other relevant details, was last updated on 2020-08-22.

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