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NAZARETH PHYSICIAN SERVICES INC NPI 1356377550


NPI Information

NPI: 1356377550
Provider Name: NAZARETH PHYSICIAN SERVICES INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
7044 TORRESDALE AVE
PHILADELPHIA, PA
ZIP 19135
Phone: (215) 332-7772
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NAZARETH PHYSICIAN SERVICES 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. NAZARETH PHYSICIAN SERVICES INC NPI is 1356377550. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7044 TORRESDALE AVE
PHILADELPHIA, PA
ZIP 19135-915
Phone: (215) 332-7772
Fax: (215) 332-2547

The provider's authorized official is John J Kirby .
The authorized official title is Executive Director and has the following contact phone number (215) 335-6614.

The enumeration date for this NPI number is 6/23/2006 and was last updated on 4/9/2008.


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
1DE5402MEDICARE PINPENNSYLVANIA
2658619OTHERPENNSYLVANIAAETNA OFFICE #
3101465514 0003MEDICAIDPENNSYLVANIA
4NA1775677OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
5095918MEDICARE PINPENNSYLVANIA
62457876002OTHERPENNSYLVANIAIBC#

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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