| Morgan Oxford, Llc | |
|
1501 North Broad Street Philadelphia PA 19122-3319 | |
| (215) 288-0707 | |
| (215) 288-9360 |
| Full Name | Morgan Oxford, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1501 North Broad Street, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Philip Howard Cross (OWNER) |
| Authorized Official Contact | 2152880707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Morgan Oxford, Llc 5363 Oxford Avenue Philadelphia PA 19124-1123 Ph: (215) 288-0707 | Morgan Oxford, Llc 1501 North Broad Street Philadelphia PA 19122-3319 Ph: (215) 288-0707 |
| NPI Number | 1225360126 |
|---|---|
| Provider Enumeration Date | 02/03/2010 |
| Last Update Date | 02/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225360126 | NPI | - | NPPES |
| 0010250400001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 050054267 (Pennsylvania) | Primary |
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