| New Vitae, Inc. | |
|
27 S. 55th Street Philadelphia PA 19139-3247 | |
| (267) 499-4299 | |
| (267) 713-7372 |
| Full Name | New Vitae, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 27 S. 55th Street, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Joan Muth (DIRECTOR, PROJECT MANAGEMENT) |
| Authorized Official Contact | 6109659021 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Vitae, Inc. Po Box 1001 Limeport PA 18060-0010 Ph: (610) 965-9021 | New Vitae, Inc. 27 S. 55th Street Philadelphia PA 19139-3247 Ph: (267) 499-4299 |
| NPI Number | 1043775711 |
|---|---|
| Provider Enumeration Date | 02/06/2019 |
| Last Update Date | 02/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043775711 | NPI | - | NPPES |
| 100745845 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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