| Viclinic Pc | |
|
3908 Kensington Ave Philadelphia PA 19124-4400 | |
| (914) 610-0950 | |
| Not Available |
| Full Name | Viclinic Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 3908 Kensington Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Soorena Khojasteh (OWNER/PHYSICIAN) |
| Authorized Official Contact | 9146100950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Viclinic Pc 345 Laurel Ln Haverford PA 19041-1930 Ph: (914) 610-0950 | Viclinic Pc 3908 Kensington Ave Philadelphia PA 19124-4400 Ph: (914) 610-0950 |
| NPI Number | 1619461837 |
|---|---|
| Provider Enumeration Date | 06/20/2018 |
| Last Update Date | 06/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619461837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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