| |
2000 Spring Garden St Philadelphia PA 19130-3805 | |
(215) 564-3618 | |
(215) 564-2239 |
Full Name | |
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Speciality | Family Medicine - Adult Medicine |
Location | 2000 Spring Garden St, Philadelphia, Pennsylvania |
Authorized Official Name and Position | Arnold S. Lincow (MEDICAL DIRECTOR - PRESIDENT) |
Authorized Official Contact | 2155643618 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2000 Spring Garden St Philadelphia PA 19130-3805 Ph: (215) 564-3618 | 2000 Spring Garden St Philadelphia PA 19130-3805 Ph: (215) 564-3618 |
NPI Number | 1699979161 |
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Provider Enumeration Date | 06/11/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699979161 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0505X | Family Medicine - Adult Medicine | OS003726-L (Pennsylvania) | Primary |
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