DEDICATED PENNSYLVANIA HOLDING, LLC is a specialist in Philadelphia, PA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DEDICATED PENNSYLVANIA HOLDING, LLC NPI is 1477053569. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Dedicated Pennsylvania Mayfair.
The provider's business location address is:
6431 SACKETT ST
PHILADELPHIA, PA
ZIP 19149-118
Phone: (305) 628-6117
Fax: (305) 363-5989
The provider's authorized official is Raymond Jimenez .
The authorized official title is Director Of Client Services and has the following contact phone number (786) 870-4039.
The CLIA number assigned to this NPI record is 39D2149677 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/15/2018 and was last updated on 3/27/2018.