Germantown Pain Management & Physical Therapy

NPI 1740570886 - Family Medicine - 207QA0401X

NPI Details
NPI 1740570886
Enumeration Date 04/11/2011
Last Updated 04/11/2011
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name KEVIN ANTHONY KEVIN
Position MEDICAL DOCTOR
Phone (215) 848-3216
Fax
Practice Location
6334 GERMANTOWN AVE
PHILADELPHIA PA, 19144-1935, US
Phone (215) 848-3216
Fax
Business Location
PO BOX 18867
PHILADELPHIA PA, 19119-0867, US
Phone (215) 848-3216
Fax
Toxanomy
Taxonomy Code 207QA0401X
License State Pennsylvania
License Number MD044909E
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According to our database, Germantown Pain Management & Physical Therapy NPI is 1740570886, taxonomy code is 207QA0401X and license number is MD044909E, license state is located at Pennsylvania. Germantown Pain Management & Physical Therapy physically located at 6334 Germantown Ave, Philadelphia PA, 19144-1935. NPI Number 1033115704 has the healthcare provider type.

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1740570886 NPI number is provided on an as is basis without warranty of any kind. 1740570886 is maintained by the National Plan & Provider Enumeration System. The contents of Germantown Pain Management & Physical Therapy are for informational purposes only.