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ROOSEVELT FAMILY MEDICAL CENTER INC. NPI 1114035326


NPI Information

NPI: 1114035326
Provider Name: ROOSEVELT FAMILY MEDICAL CENTER, INC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
4517 N BROAD ST
PHILADELPHIA, PA
ZIP 19140
Phone: (215) 324-1900
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ROOSEVELT FAMILY MEDICAL CENTER, INC. is a family medicine in Philadelphia, PA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ROOSEVELT FAMILY MEDICAL CENTER, INC. NPI is 1114035326. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4517 N BROAD ST
PHILADELPHIA, PA
ZIP 19140-215
Phone: (215) 324-1900
Fax: (215) 324-4239

The provider's authorized official is Maurice Singer .
The authorized official title is President and has the following contact phone number (215) 676-3336.

The enumeration date for this NPI number is 8/28/2006 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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10058484001OTHERPENNSYLVANIA10 DIGIT HMO ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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