PENN EXECUTIVE DIAGNOSTIC CENTER INC. NPI 1881649721

NPI Information

NPI: 1881649721
Provider Name: PENN EXECUTIVE DIAGNOSTIC CENTER, INC.
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
1801 MARKET ST
SUITE 200
PHILADELPHIA, PA
ZIP 19103
Phone: (215) 569-9500
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PENN EXECUTIVE DIAGNOSTIC CENTER, INC. is a multi-specialty clinic center in Philadelphia, PA. PENN EXECUTIVE DIAGNOSTIC CENTER, INC. NPI is 1881649721. The provider is registered as an organization entity type.

The provider's business location address is:

1801 MARKET ST
SUITE 200
PHILADELPHIA, PA
ZIP 19103-628
Phone: (215) 569-9500
Fax: (215) 569-4839

The provider's authorized official is Lawrence Kenneth Spitz .
The authorized official title is President and has the following contact phone number (215) 569-9500.

The enumeration date for this NPI number is 5/22/2006 and was last updated on 8/22/2020.

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	261QM1300X	Clinic/Center	Multi-Specialty	=========	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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