THE WEDGE MEDICAL CENTER P.C. NPI 1730306291

NPI Information

THE WEDGE MEDICAL CENTER, P.C. is an addiction (substance use disorder) counselor in Philadelphia, PA. THE WEDGE MEDICAL CENTER, P.C. NPI is 1730306291. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2009 S BROAD ST
PHILADELPHIA, PA
ZIP 19148-217
Phone: (215) 271-2200
Fax: (215) 271-2333

The provider's authorized official is Takisa S Gallman .
The authorized official title is Administrative Director and has the following contact phone number (215) 276-3922.

The enumeration date for this NPI number is 4/19/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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