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COMPLETE PHYSICIAN SERVICES NPI 1982659611


NPI Information

NPI: 1982659611
Provider Name: COMPLETE PHYSICIAN SERVICES

Other Name: FAMILY PRACTICE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1216 E HUNTING PARK AVE
PHILADELPHIA, PA
ZIP 19124
Phone: (215) 533-1333
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COMPLETE PHYSICIAN SERVICES 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. COMPLETE PHYSICIAN SERVICES NPI is 1982659611. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Family Practice.

The provider's business location address is:

1216 E HUNTING PARK AVE
PHILADELPHIA, PA
ZIP 19124
Phone: (215) 533-1333
Fax: (215) 744-4324

The provider's authorized official is Kenneth Wiseman .
The authorized official title is President and has the following contact phone number (215) 533-1333.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 8/13/2014.


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 MedicineOS4457LPENNSYLVANIAYes

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
1E06299MEDICARE UPIN
2152136FW0MEDICARE ID-TYPE UNSPECIFIED

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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