| 7622 Medical Center Dba 1900 S.g. Associates | |
|
2000 Spring Garden St Philadelphia PA 19130-3805 | |
| (215) 564-3618 | |
| (215) 564-2239 |
| Full Name | 7622 Medical Center Dba 1900 S.g. Associates |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 2000 Spring Garden St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Arnold S. Lincow (MEDICAL DIRECTOR - PRESIDENT) |
| Authorized Official Contact | 2155643618 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 7622 Medical Center Dba 1900 S.g. Associates 2000 Spring Garden St Philadelphia PA 19130-3805 Ph: (215) 564-3618 | 7622 Medical Center Dba 1900 S.g. Associates 2000 Spring Garden St Philadelphia PA 19130-3805 Ph: (215) 564-3618 |
| NPI Number | 1699979161 |
|---|---|
| Provider Enumeration Date | 06/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699979161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | OS003726-L (Pennsylvania) | Primary |
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