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PARKWOOD MEDICAL PRACTICE PC NPI 1861516528


NPI Information

NPI: 1861516528
Provider Name: PARKWOOD MEDICAL PRACTICE PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
12401 ACADEMY RD
SUITE 203
PHILADELPHIA, PA
ZIP 19154
Phone: (215) 637-3100
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PARKWOOD MEDICAL PRACTICE PC 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. PARKWOOD MEDICAL PRACTICE PC NPI is 1861516528. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

12401 ACADEMY RD
SUITE 203
PHILADELPHIA, PA
ZIP 19154-932
Phone: (215) 637-3100
Fax: (215) 637-7310

The provider's authorized official is Hal B Ganzman .
The authorized official title is Owner and has the following contact phone number (215) 637-3100.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 12/4/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineOS007829LPENNSYLVANIAYes

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
1059323MEDICARE 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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.