| The Wedge Medical Center, P.c. | |
|
6701 N Broad St Philadelphia PA 19126-2837 | |
| (215) 276-3922 | |
| (215) 924-4485 |
| Full Name | The Wedge Medical Center, P.c. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 6701 N Broad St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Patrick J Palmer (CEO) |
| Authorized Official Contact | 2152763922 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Wedge Medical Center, P.c. 6701 N Broad St Philadelphia PA 19126-2837 Ph: (215) 276-3922 | The Wedge Medical Center, P.c. 6701 N Broad St Philadelphia PA 19126-2837 Ph: (215) 276-3922 |
| NPI Number | 1508806886 |
|---|---|
| Provider Enumeration Date | 06/07/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508806886 | NPI | - | NPPES |
| 1007281920008 | Medicaid | PA | |
| 1007281920002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 807376 (Pennsylvania) | Primary |
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