NPI 1902976202 · live from the CMS NPI Registry
7622 Medical Center, INC.
Family Medicine in Philadelphia, PA. National Provider Identifier 1902976202, active.
NPI record
| NPI | 1902976202 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 7622 Ogontz Ave, Philadelphia, PA 19150 |
| Practice phone | 215-224-8980 |
| Enumerated | November 8, 2006 |
| Last updated | May 2, 2008 |
| Authorized official | Debbie Bynum, Medicare Department |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | — |
| Internal Medicine | 207R00000X | — |
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.