Lifeline Health And Wellness Physician Specialty Group | |
1341 N Delaware Ave Suite 307 Philadelphia PA 19125-4300 | |
(215) 922-9334 | |
(215) 420-1777 |
Full Name | Lifeline Health And Wellness Physician Specialty Group |
---|---|
Speciality | Family Medicine |
Location | 1341 N Delaware Ave, Philadelphia, Pennsylvania |
Authorized Official Name and Position | Arthur Paul Miriana (CEO) |
Authorized Official Contact | 16097036905 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lifeline Health And Wellness Physician Specialty Group 1341 N Delaware Ave Suite 307 Philadelphia PA 19125-4300 Ph: (215) 922-9334 | Lifeline Health And Wellness Physician Specialty Group 1341 N Delaware Ave Suite 307 Philadelphia PA 19125-4300 Ph: (215) 922-9334 |
NPI Number | 1225384563 |
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Provider Enumeration Date | 07/24/2012 |
Last Update Date | 07/24/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225384563 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
208D00000X | General Practice | (* (Not Available)) | Secondary |
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