North Philadelphia Family Practice
Family Medicine in Philadelphia, PA. Organization (NPI-2).
NPI number1386859635
StatusActive
Last updated in NPPESDec 6, 2007
Details
- NPI
- 1386859635
- Entity type
- Organization (NPI-2)
- Legal business name
- North Philadelphia Family Practice
- Organization subpart
- No
- Enumeration date
- May 11, 2007
- Last updated
- Dec 6, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
1228 N Franklin StSuite 136, Adc Building
Philadelphia, PA 19122-4328
Phone 215-787-2365 · Fax 215-787-2345
Mailing address
1228 N Franklin StSuite 136, Adc Building
Philadelphia, PA 19122-4328
Phone 215-787-2365 · Fax 215-787-2345
Authorized official
Larry A Wolk
President
2157872365
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