| Miriam Medical Clinics Inc | |
|
2006 Tasker St Philadelphia PA 19145-1432 | |
| (215) 644-8745 | |
| (215) 644-8713 |
| Full Name | Miriam Medical Clinics Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 2006 Tasker St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Sandra Kay Johnson (CFO) |
| Authorized Official Contact | 2156448745 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miriam Medical Clinics Inc 2006 Tasker St Philadelphia PA 19145-1432 Ph: (215) 644-8745 | Miriam Medical Clinics Inc 2006 Tasker St Philadelphia PA 19145-1432 Ph: (215) 644-8745 |
| NPI Number | 1225447592 |
|---|---|
| Provider Enumeration Date | 08/11/2014 |
| Last Update Date | 03/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225447592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Pennsylvania) | Secondary |
| 208D00000X | General Practice | (Pennsylvania) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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