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3 Crescent Dr Fl 2 Philadelphia PA 19112-1016 | |
| (215) 503-3210 | |
| (215) 503-7136 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 3 Crescent Dr Fl 2, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Valerie Yvette Bright-butler (ASSOC DIRECTOR OF ENROLLMENT) |
| Authorized Official Contact | 2159559457 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 828937 Philadelphia PA 19182-8937 Ph: (215) 503-1240 | 3 Crescent Dr Fl 2 Philadelphia PA 19112-1016 Ph: (215) 503-3210 |
| NPI Number | 1912477324 |
|---|---|
| Provider Enumeration Date | 11/28/2018 |
| Last Update Date | 10/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912477324 | NPI | - | NPPES |
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