| Dedicated Pennsylvania Holding, Llc | |
|
5675 N. Front Strreet Suite 141 Philadelphia PA 19120-1910 | |
| (305) 628-6117 | |
| (305) 363-5989 |
| Full Name | Dedicated Pennsylvania Holding, Llc |
|---|---|
| Speciality | Specialist |
| Location | 5675 N. Front Strreet, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Mary Chen (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3058314722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dedicated Pennsylvania Holding, Llc 1395 Nw 167th St Miami Gardens FL 33169-5710 Ph: (305) 628-6117 | Dedicated Pennsylvania Holding, Llc 5675 N. Front Strreet Suite 141 Philadelphia PA 19120-1910 Ph: (305) 628-6117 |
| NPI Number | 1366950776 |
|---|---|
| Provider Enumeration Date | 01/19/2018 |
| Last Update Date | 10/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366950776 | NPI | - | NPPES |
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