Astral Physicians Pc

NPI 1093856056 - Internal Medicine - 207R00000X

NPI Details
NPI 1093856056
Enumeration Date 02/10/2007
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name NOI NOI
Position PRESIDENT
Phone (610) 216-4937
Fax (215) 447-5169
Practice Location
1251 N HOWARD ST
PHILADELPHIA PA, 19122-4612, US
Phone (610) 216-4937
Fax (215) 447-5169
Business Location
1251 N HOWARD ST
PHILADELPHIA PA, 19122-4612, US
Phone (610) 216-4937
Fax (215) 447-5169
Toxanomy
Taxonomy Code 207R00000X
License State Pennsylvania
License Number OS007932L
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According to our database, Astral Physicians Pc NPI is 1093856056, taxonomy code is 207R00000X and license number is OS007932L, license state is located at Pennsylvania. Astral Physicians Pc physically located at 1251 N Howard St, Philadelphia PA, 19122-4612. NPI Number 1033115704 has the healthcare provider type.

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1093856056 NPI number is provided on an as is basis without warranty of any kind. 1093856056 is maintained by the National Plan & Provider Enumeration System. The contents of Astral Physicians Pc are for informational purposes only.