Pediatric & Preventive Medicine Assoc Pc in Philadelphia - Pediatrics
Pediatric & Preventive Medicine Assoc Pc - NPI 1447311576
Pediatric & Preventive Medicine Assoc Pc is a Pediatrics in Philadelphia, Pennsylvania. Pediatric & Preventive Medicine Assoc Pc practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Pediatric & Preventive Medicine Assoc Pc is 1447311576. The last update date is 2016-07-11.
Pediatric & Preventive Medicine Assoc Pc's current location address is 4035 Powelton Ave, Philadelphia, Pennsylvania. You can contact this provider via phone number 2154717000 and fax number 2154740451. The mailing address for Pediatric & Preventive Medicine Assoc Pc is 4035 Powelton Ave, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric & Preventive Medicine Assoc Pc |
|---|---|
| Address | 4035 Powelton Ave, Philadelphia, Pennsylvania |
| Phone Number | 2154717000 |
| Fax Number | 2154740451 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Drain Terence Randall |
| Credentials | MD |
| Telephone Number | 2152273300 |
NPI Number Detail
| NPI Number | 1447311576 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2016-07-11 |
Provider Mailing Address Detail
| Address | 4035 Powelton Ave |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191042262 |
| Phone Number | 2154717000 |
| Fax Number | 2154740451 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | MD039729L |
|
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1054660 | PA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Pediatric & Preventive Medicine Assoc Pc?
The Pediatric & Preventive Medicine Assoc Pc has been issued the NPI (National Provider Identifier) 1447311576 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Pediatric & Preventive Medicine Assoc Pc is geographically located?
The Pediatric & Preventive Medicine Assoc Pc is physically situated at the following location: 4035 Powelton Ave, Philadelphia, PA, 191042262.
What is Pediatric & Preventive Medicine Assoc Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Pediatric & Preventive Medicine Assoc Pc's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 208000000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1447311576 to Pediatric & Preventive Medicine Assoc Pc?
The Pediatric & Preventive Medicine Assoc Pc received its 1447311576 assignment from the Centers for Medicare & Medicaid Services on 2006-12-13.
When was the information pertaining to Pediatric & Preventive Medicine Assoc Pc most recently updated or revised?
The details related to Pediatric & Preventive Medicine Assoc Pc, including its address, specialty, and other relevant information, were last updated or revised on 2016-07-11.
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