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MEMPHIS STREET PEDIATRICS LLC NPI 1992800940


NPI Information

NPI: 1992800940
Provider Name: MEMPHIS STREET PEDIATRICS LLC

Doing Business As: MEMPHIS STREET PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
3380 MEMPHIS ST
PHILADELPHIA, PA
ZIP 19134
Phone: (215) 426-5566
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MEMPHIS STREET PEDIATRICS LLC is a pediatrics in Philadelphia, PA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. MEMPHIS STREET PEDIATRICS LLC NPI is 1992800940. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Memphis Street Pediatrics.

The provider's business location address is:

3380 MEMPHIS ST
PHILADELPHIA, PA
ZIP 19134-510
Phone: (215) 426-5566
Fax: (215) 739-7304

The provider's authorized official is Louise T Holmes .
The authorized official title is Practice Manager and has the following contact phone number (215) 707-1059.

The enumeration date for this NPI number is 9/14/2006 and was last updated on 9/15/2010.


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
1208000000XPediatricsYes

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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