Philadelphia Family Medicne Assoc P.C.

LBN: Philadelphia Family Medicne Assoc P.C.
Philadelphia Family Medicne Assoc P.C. is an health care organization with primary practice located at 1028 W Oregon Ave , Philadelphia PA 19148-4421. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Philadelphia Family Medicne Assoc P.C. can be contacted via phone (215) 389-7766, or through Direnzo, Joseph P via phone (215) 389-7766.

Contact Information

Primary practice address
1028 W Oregon Ave Philadelphia PA 19148-4421
Fax: (215) 389-0227
Website:
Authorized official contact:
Name: Direnzo, Joseph P Doctor of Osteopathy (DO)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS009019L Pennsylvania

Profile Details

NPI number 1912958638
LBN Legal business name Philadelphia Family Medicne Assoc P.C.
DBA Doing business as
Authorized official Direnzo, Joseph P Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2006
Last updated Jul 15th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912958638 NPPES
Pennsylvania MEDICAID 0015771060001

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