| |
7604 Central Ave, Suite 201, Philadelphia, PA 19111-2433 | |
(215) 728-7594 | |
(215) 214-4197 |
Full Name | |
---|---|
Type | Facility |
Speciality | Obstetrics & Gynecology |
Location | 7604 Central Ave, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598817074 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
171100000X | Acupuncturist | (* (Not Available)) | Secondary |
207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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Po Box 820933, Philadelphia, PA 19182-0933 Ph: (215) 926-9000 | 7604 Central Ave, Suite 201, Philadelphia, PA 19111-2433 Ph: (215) 728-7594 |