| Bravo Health Advanced Care Center, P.c. | |
|
1601 Chestnut St Philadelphia PA 19192-4071 | |
| (267) 238-5825 | |
| (855) 803-5322 |
| Full Name | Bravo Health Advanced Care Center, P.c. |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 1601 Chestnut St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Dirk Wales (PRESIDENT) |
| Authorized Official Contact | 6152366100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bravo Health Advanced Care Center, P.c. 1500 Spring Garden St Ste 800 Philadelphia PA 19130-4071 Ph: (267) 238-5825 | Bravo Health Advanced Care Center, P.c. 1601 Chestnut St Philadelphia PA 19192-4071 Ph: (267) 238-5825 |
| NPI Number | 1265674592 |
|---|---|
| Provider Enumeration Date | 04/01/2009 |
| Last Update Date | 12/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265674592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | MD038974E (Pennsylvania) | Primary |
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