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LIBERTY MEDICAL GROUP PC NPI 1972792257


NPI Information

NPI: 1972792257
Provider Name: LIBERTY MEDICAL GROUP PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
6200 FRANKFORD AVE
PHILADELPHIA, PA
ZIP 19135
Phone: (215) 535-2121
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LIBERTY MEDICAL GROUP 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. LIBERTY MEDICAL GROUP PC NPI is 1972792257. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6200 FRANKFORD AVE
PHILADELPHIA, PA
ZIP 19135-405
Phone: (215) 535-2121
Fax: (215) 535-2860

The provider's authorized official is Neil P Glickman .
The authorized official title is President and has the following contact phone number (215) 535-2121.

The enumeration date for this NPI number is 10/23/2007 and was last updated on 11/1/2007.


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 MedicineOS002144LPENNSYLVANIAYes

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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