| Trinity Health Mid-atlantic Medical Group | |
|
2701 Holme Ave Ste 302 Philadelphia PA 19152-2029 | |
| (267) 957-7005 | |
| (267) 957-7006 |
| Full Name | Trinity Health Mid-atlantic Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 2701 Holme Ave Ste 302, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Kimberly A Cummings (VP, FINANCE AND CFO) |
| Authorized Official Contact | 2157102508 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Health Mid-atlantic Medical Group 41 University Dr Ste 300 Newtown PA 18940-1873 Ph: (734) 343-2654 | Trinity Health Mid-atlantic Medical Group 2701 Holme Ave Ste 302 Philadelphia PA 19152-2029 Ph: (267) 957-7005 |
| NPI Number | 1043958069 |
|---|---|
| Provider Enumeration Date | 05/20/2022 |
| Last Update Date | 09/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043958069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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