Carriage House Medical Group, Llc in Philadelphia - Medical Specialty
Carriage House Medical Group, Llc - NPI 1578607305
Carriage House Medical Group, Llc is a Medical Specialty in Philadelphia, Pennsylvania. Carriage House Medical Group, Llc practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Carriage House Medical Group, Llc is 1578607305. The last update date is 2020-08-22.
Carriage House Medical Group, Llc's current location address is 6950 Germantown Ave, Philadelphia, Pennsylvania. You can contact this provider via phone number 2152617117 and fax number 2152617120. The mailing address for Carriage House Medical Group, Llc is 6950 Germantown Ave, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Carriage House Medical Group, Llc |
|---|---|
| Address | 6950 Germantown Ave, Philadelphia, Pennsylvania |
| Phone Number | 2152617117 |
| Fax Number | 2152617120 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Okolo Chukwudi Emmanuel |
| Credentials | MD |
| Telephone Number | 2152617117 |
NPI Number Detail
| NPI Number | 1578607305 |
|---|---|
| Provider Enumeration Date | 2007-02-16 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 6950 Germantown Ave |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191192120 |
| Phone Number | 2152617117 |
| Fax Number | 2152617120 |
Provider's Primary Taxonomy Detail
| Speciality | Medical Specialty |
|---|---|
| Taxonomy | 261Qm2500X |
| Licence No | MD426910 |
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Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific |
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What is the unique identifier code issued to Carriage House Medical Group, Llc by the Centers for Medicare & Medicaid Services?
The Carriage House Medical Group, Llc has been assigned the NPI (National Provider Identifier) 1578607305. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Carriage House Medical Group, Llc is located?
The Carriage House Medical Group, Llc is situated at the following address: 6950 Germantown Ave, Philadelphia, PA, 191192120.
What is Carriage House Medical Group, Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Carriage House Medical Group, Llc is Medical Specialty, and the taxonomy classification code that categorizes this area of expertise is 261Qm2500X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1578607305 to Carriage House Medical Group, Llc?
The Centers for Medicare & Medicaid Services originally issued the 1578607305 to Carriage House Medical Group, Llc on 2007-02-16.
When was the information pertaining to Carriage House Medical Group, Llc most recently updated or revised?
The details related to Carriage House Medical Group, Llc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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