Roman Dykyj Jr Md Pc

LBN: Roman Dykyj Jr Md Pc
Roman Dykyj Jr Md Pc is an health care organization with primary practice located at 8151 Revere St , Philadelphia PA 19152-3002. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Roman Dykyj Jr Md Pc can be contacted via phone (215) 624-6855, or through Dykyj, Roman via phone (215) 624-3000.

Contact Information

Primary practice address
8151 Revere St Philadelphia PA 19152-3002
Fax:
Website:
Authorized official contact:
Name: Dykyj, Roman Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X MD027187E Pennsylvania

Profile Details

NPI number 1689850901
LBN Legal business name Roman Dykyj Jr Md Pc
DBA Doing business as
Authorized official Dykyj, Roman Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2008
Last updated Jan 21st, 2008 - about 16 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 1689850901 NPPES
Pennsylvania Other 0054192000 INDEPENDENT BLUE CROSS
Pennsylvania Other 0054192001 INDEPENDENT BLUE CROSS
Pennsylvania Other 2061288 INDEPENDENT BLUE CROSS
Pennsylvania Other A00995 INDEPENDENT BLUE CROSS

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