| South Philly Family Practice And Medical Center | |
|
1800 Jackson St Phila PA 19145-3712 | |
| (215) 826-8050 | |
| (215) 826-8053 |
| Full Name | South Philly Family Practice And Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 1800 Jackson St, Phila, Pennsylvania |
| Authorized Official Name and Position | Kristine Mcmanus (DIRECTOR OF HUMAN RESOURCES) |
| Authorized Official Contact | 2157570465 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Philly Family Practice And Medical Center 424 Mill St Bristol PA 19007-4813 Ph: (215) 826-8050 | South Philly Family Practice And Medical Center 1800 Jackson St Phila PA 19145-3712 Ph: (215) 826-8050 |
| NPI Number | 1538115241 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 09/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538115241 | NPI | - | NPPES |
| 2351050000 | Other | PA | IBC |
| 1675135 | Other | PA | HIGHMARK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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