Organization · NPI-2
7622 Medical Center, INC.
Family Medicine · Philadelphia, PA
NPI number1902976202
StatusActive
Last updated in NPPESMay 2, 2008
Details
- NPI
- 1902976202
- Entity type
- Organization (NPI-2)
- Legal business name
- 7622 Medical Center, INC.
- Organization subpart
- No
- Enumeration date
- Nov 8, 2006
- Last updated
- May 2, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 111N00000X | Chiropractor | – | – | |
| 207R00000X | Internal Medicine | – | – |
Practice location
7622 Ogontz AvePhiladelphia, PA 19150-1817
Phone 215-224-8980 · Fax 215-224-9342
Mailing address
7622 Ogontz AvePhiladelphia, PA 19150-1817
Phone 215-224-8980 · Fax 215-224-9342
Authorized official
Debbie Bynum
Medicare Department
2152248980
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