MAZZONI CENTER NPI 1477631307

NPI Information

MAZZONI CENTER 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. MAZZONI CENTER NPI is 1477631307. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Pcha.

The provider's business location address is:

1348 BAINBRIDGE ST
PHILADELPHIA, PA
ZIP 19147-810
Phone: (215) 563-0652
Fax: (215) 563-0664

The provider's authorized official is Alecia Manley .
The authorized official title is Coo and has the following contact phone number (215) 563-0652.

The CLIA number assigned to this NPI record is 39D0960059 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/1/2006 and was last updated on 4/21/2021.

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:

Other Identifiers

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