is a Clinic/center in Philadelphia, Pennsylvania. practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for is 1467619403. The last update date is .
's current location address is 1401 S. 31st Street, Philadelphia, Pennsylvania. You can contact this provider via phone number 2159252400 and fax number 2159259162. The mailing address for is 1401 S. 31st Street, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 1401 S. 31st Street, Philadelphia, Pennsylvania |
| Phone Number | 2159252400 |
| Fax Number | 2159259162 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1467619403 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 1401 S. 31st Street |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191463506 |
| Phone Number | 2159252400 |
| Fax Number | 2159259162 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
|
Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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