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PHILADELPHIA FAMILY MEDICNE ASSOC P.C. NPI 1912958638


NPI Information

NPI: 1912958638
Provider Name: PHILADELPHIA FAMILY MEDICNE ASSOC P.C.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1028 W OREGON AVE
PHILADELPHIA, PA
ZIP 19148
Phone: (215) 389-7766
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PHILADELPHIA FAMILY MEDICNE ASSOC P.C. 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. PHILADELPHIA FAMILY MEDICNE ASSOC P.C. NPI is 1912958638. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1028 W OREGON AVE
PHILADELPHIA, PA
ZIP 19148-421
Phone: (215) 389-7766
Fax: (215) 389-0227

The provider's authorized official is Joseph P Direnzo .
The authorized official title is President and has the following contact phone number (215) 389-7766.

The enumeration date for this NPI number is 5/15/2006 and was last updated on 7/15/2021.


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 MedicineOS009019LPENNSYLVANIAYes

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
10015771060001MEDICAIDPENNSYLVANIA

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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