| Triangle Medical, Inc. | |
|
1202 Locust St Suite 201 Philadelphia PA 19107-5605 | |
| (215) 545-0170 | |
| (215) 545-8677 |
| Full Name | Triangle Medical, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1202 Locust St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Mark T Watkins (OWNER/PHYSICIAN) |
| Authorized Official Contact | 2155450170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Triangle Medical, Inc. 1202 Locust St Suite 201 Philadelphia PA 19107-5605 Ph: (215) 545-0170 | Triangle Medical, Inc. 1202 Locust St Suite 201 Philadelphia PA 19107-5605 Ph: (215) 545-0170 |
| NPI Number | 1275707671 |
|---|---|
| Provider Enumeration Date | 04/16/2008 |
| Last Update Date | 04/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275707671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS006195-L (Pennsylvania) | Primary |
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