| Mt Airy Family Practice | |
|
760 Carpenter Ln Philadelphia PA 19119-3406 | |
| (215) 848-6880 | |
| (215) 848-3333 |
| Full Name | Mt Airy Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 760 Carpenter Ln, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Thomas Lyon (MANAGING PARTNER) |
| Authorized Official Contact | 2158486880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mt Airy Family Practice 760 Carpenter Ln Philadelphia PA 19119-3406 Ph: (215) 848-6880 | Mt Airy Family Practice 760 Carpenter Ln Philadelphia PA 19119-3406 Ph: (215) 848-6880 |
| NPI Number | 1831104405 |
|---|---|
| Provider Enumeration Date | 07/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831104405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD041004E (Pennsylvania) | Primary |
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