| Dedicated Senior Medical Center South Philadelphia | |
|
330 W Oregon Ave # 170 Philadelphia PA 19148-4723 | |
| (305) 628-6117 | |
| Not Available |
| Full Name | Dedicated Senior Medical Center South Philadelphia |
|---|---|
| Speciality | Internal Medicine |
| Location | 330 W Oregon Ave # 170, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Mary Chen (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3058314722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dedicated Senior Medical Center South Philadelphia 1395 Nw 167th St Miami Gardens FL 33169-5710 Ph: () - | Dedicated Senior Medical Center South Philadelphia 330 W Oregon Ave # 170 Philadelphia PA 19148-4723 Ph: (305) 628-6117 |
| NPI Number | 1023655602 |
|---|---|
| Provider Enumeration Date | 12/03/2019 |
| Last Update Date | 10/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023655602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 332900000X | Non-pharmacy Dispensing Site | (* (Not Available)) | Secondary |
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