EASTWICK PRIMARY CARE NPI 1760580773

NPI Information

  • NPI: 1760580773
  • Provider Name: EASTWICK PRIMARY CARE
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 2801 ISLAND RD
    SUITE 10 11
    PHILA, PA
    ZIP 19153
  • Phone: (215) 492-8800

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NPI Details

EASTWICK PRIMARY CARE is a primary care clinic center in Phila, PA. EASTWICK PRIMARY CARE NPI is 1760580773. The provider is registered as an organization entity type.

The provider's business location address is:

2801 ISLAND RD
SUITE 10 11
PHILA, PA
ZIP 19153-326
Phone: (215) 492-8800
Fax: (215) 492-6421

The provider's authorized official is Joyce M Fox .
The authorized official title is Office Manager and has the following contact phone number (215) 492-8800.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 5/11/2011.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareMD024544LPENNSYLVANIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1144292OTHERPENNSYLVANIABS
2023894MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA

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: 11/21/2025

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