| Pennsylvania Injury Center | |
|
6735 Harbison Ave Philadelphia PA 19149-2305 | |
| (215) 672-2436 | |
| (215) 672-2437 |
| Full Name | Pennsylvania Injury Center |
|---|---|
| Speciality | Family Medicine |
| Location | 6735 Harbison Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Daniel Deprince (PRESIDENT) |
| Authorized Official Contact | 2156722436 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pennsylvania Injury Center Po Box 45856 6735 Harbison Avenue Philadelphia PA 19149-5856 Ph: (215) 672-2436 | Pennsylvania Injury Center 6735 Harbison Ave Philadelphia PA 19149-2305 Ph: (215) 672-2436 |
| NPI Number | 1902154404 |
|---|---|
| Provider Enumeration Date | 08/15/2012 |
| Last Update Date | 08/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902154404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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