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BALMONT FAMILY PRACTICE NPI 1780806422


NPI Information

NPI: 1780806422
Provider Name: BALMONT FAMILY PRACTICE
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
5008 BALTIMORE AVE
SUITE A
PHILADELPHIA, PA
ZIP 19143
Phone: (215) 764-8520
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BALMONT FAMILY PRACTICE 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. BALMONT FAMILY PRACTICE NPI is 1780806422. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5008 BALTIMORE AVE
SUITE A
PHILADELPHIA, PA
ZIP 19143-302
Phone: (215) 764-8520
Fax: (215) 764-8521

The provider's authorized official is Terrence Michael Curley .
The authorized official title is Family Physician and has the following contact phone number (215) 764-8520.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 5/19/2008.


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
1207Q00000XFamily MedicineOS007190LPENNSYLVANIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000489382OTHERPENNSYLVANIAIBC BLUE SHIELD ID
2489382MEDICARE PIN

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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