| James L. Tweedy D.o. & Associates P.c. | |
|
724 W Porter St Philadelphia PA 19148-3841 | |
| (215) 334-6762 | |
| (215) 271-2338 |
| Full Name | James L. Tweedy D.o. & Associates P.c. |
|---|---|
| Speciality | Clinic/center |
| Location | 724 W Porter St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | James L. Tweedy (PRESIDENT) |
| Authorized Official Contact | 2153346762 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James L. Tweedy D.o. & Associates P.c. 724 W Porter St Philadelphia PA 19148-3841 Ph: (215) 334-6762 | James L. Tweedy D.o. & Associates P.c. 724 W Porter St Philadelphia PA 19148-3841 Ph: (215) 334-6762 |
| NPI Number | 1750328001 |
|---|---|
| Provider Enumeration Date | 06/02/2006 |
| Last Update Date | 02/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750328001 | NPI | - | NPPES |
| 00704456 | Medicaid | PA | |
| 0273261001 | Other | PA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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