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DEDICATED PENNSYLVANIA HOLDING LLC NPI 1942703137


NPI Information

NPI: 1942703137
Provider Name: DEDICATED PENNSYLVANIA HOLDING, LLC

Other Name: DEDICATED PENNSYLVANIA WEST PHILADELPHIA

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
1575 N 52ND ST STE S-3
PHILADELPHIA, PA
ZIP 19131
Phone: (305) 628-6117
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DEDICATED PENNSYLVANIA HOLDING, LLC is an internal medicine in Philadelphia, PA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DEDICATED PENNSYLVANIA HOLDING, LLC NPI is 1942703137. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Dedicated Pennsylvania West Philadelphia.

The provider's business location address is:

1575 N 52ND ST STE S-3
PHILADELPHIA, PA
ZIP 19131-736
Phone: (305) 628-6117

The provider's authorized official is Raymond Jimenez .
The authorized official title is Director Of Client Svcs and has the following contact phone number (786) 870-4039.

The enumeration date for this NPI number is 3/14/2018 and was last updated on 3/14/2018.


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
1174400000XSpecialistNo
2207R00000XInternal MedicineYes
3261QP2300XClinic/CenterPrimary CareNo
4332900000XNon-Pharmacy Dispensing SiteNo

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.