Penn Integrative Medical And Dental Center, Inc.
LBN: Penn Integrative Medical And Dental Center, Inc.
Penn Integrative Medical And Dental Center, Inc. is an health care organization with primary practice located at 7130 Rising Sun Ave , Philadelphia PA 19111-3957. The organization recently has 3 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Other Service Providers / Acupuncturist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Penn Integrative Medical And Dental Center, Inc. can be contacted via phone (215) 821-2305, or through Sanon, Julian via phone (215) 821-2305.
Contact Information
Primary practice address
7130 Rising Sun Ave
Philadelphia PA 19111-3957
Phone: (215) 821-2305
Fax: (215) 220-2600
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutritionist | 133N00000X | ||
| Other Service Providers / Acupuncturist | 171100000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
| NPI number | 1952640187 |
|---|---|
| LBN Legal business name | Penn Integrative Medical And Dental Center, Inc. |
| DBA Doing business as | |
| Authorized official | Sanon, Julian Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 7th, 2013 |
| Last updated | May 3rd, 2013 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952640187 | NPPES |
| Pennsylvania | MEDICAID | 1027913640001 |
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