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HOLY FAMILY UNIVERSITY NPI 1366961237


NPI Information

NPI: 1366961237
Provider Name: HOLY FAMILY UNIVERSITY

Doing Business As: HOLY FAMILY SPORTS MEDICINE

Classification: Orthopaedic Surgery - 207XX0005X
Entity Type: Organization

Specialization: Sports Medicine

CLIA Number: 39D2079256

Address:
9801 FRANKFORD AVE
PHILADELPHIA, PA
ZIP 19114
Phone: (972) 367-4845
Get Directions

HOLY FAMILY UNIVERSITY is a sports medicine orthopaedic surgery in Philadelphia, PA. The provider is an orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. HOLY FAMILY UNIVERSITY NPI is 1366961237. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Holy Family Sports Medicine.

The provider's business location address is:

9801 FRANKFORD AVE
PHILADELPHIA, PA
ZIP 19114-009
Phone: (972) 367-4845

The provider's authorized official is Mouzon Bass .
The authorized official title is Agent and has the following contact phone number (972) 367-4845.

The CLIA number assigned to this NPI record is 39D2079256 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/12/2017 and was last updated on 9/12/2017.


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
1207XX0005XOrthopaedic SurgerySports MedicineMD028513EPENNSYLVANIAYes

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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