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CITY LINE PEDIATRICS NPI 1477588135


NPI Information

NPI: 1477588135
Provider Name: CITY LINE PEDIATRICS
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 39D0987154

Address:
4190 CITY AVE
SUITE 540
PHILADELPHIA, PA
ZIP 19131
Phone: (215) 871-1800
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CITY LINE PEDIATRICS is a pediatrics in Philadelphia, PA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. CITY LINE PEDIATRICS NPI is 1477588135. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4190 CITY AVE
SUITE 540
PHILADELPHIA, PA
ZIP 19131-626
Phone: (215) 871-1800
Fax: (215) 871-1807

The provider's authorized official is Kathleen Gibbons .
The authorized official title is Biller and has the following contact phone number (215) 871-1800.

The CLIA number assigned to this NPI record is 39D0987154 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/11/2006 and was last updated on 9/4/2008.


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
1208000000XPediatrics0S005355LPENNSYLVANIAYes

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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