ADVANCED FAMILY MEDICINE P.C. NPI 1790979870

NPI Information

NPI: 1790979870
Provider Name: ADVANCED FAMILY MEDICINE P.C.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
14200 BUSTLETON AVE
SUITE 4
PHILADELPHIA, PA
ZIP 19116
Phone: (215) 671-0900
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ADVANCED FAMILY MEDICINE P.C. is a primary care clinic center in Philadelphia, PA. ADVANCED FAMILY MEDICINE P.C. NPI is 1790979870. The provider is registered as an organization entity type.

The provider's business location address is:

14200 BUSTLETON AVE
SUITE 4
PHILADELPHIA, PA
ZIP 19116-186
Phone: (215) 671-0900
Fax: (215) 671-8114

The provider's authorized official is Alexander Tarnopolsky .
The authorized official title is Physician and has the following contact phone number (267) 242-7993.

The enumeration date for this NPI number is 8/31/2007 and was last updated on 8/31/2007.

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
1	261QP2300X	Clinic/Center	Primary Care	OS010564L	PENNSYLVANIA	Yes

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

NPI Synchronization or Removal

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