Trinity Health Mid-Atlantic Medical Group
Family Medicine in Philadelphia, PA. Organization (NPI-2).
NPI number1497312656
StatusActive
Last updated in NPPESMar 13, 2026
Details
- NPI
- 1497312656
- Entity type
- Organization (NPI-2)
- Legal business name
- Trinity Health Mid-Atlantic Medical Group
- Organization subpart
- No
- Enumeration date
- May 23, 2019
- Certification date
- Mar 13, 2026
- Last updated
- Mar 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 207R00000X | Internal Medicine | – | – |
Other names
- Nazareth Health Residency Center (Doing Business As)
Practice location
1407 Rhawn StPhiladelphia, PA 19111-2803
Phone 267-957-7027 · Fax 267-957-7029
Mailing address
41 University Dr Ste 300Newtown, PA 18940-1873
Phone 734-343-2654
Authorized official
Julie Keese
Vp, Finance And Cfo
3017547201
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