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Organization
MINIMALLY INVASIVE CARE INSTITUTE OF PHILADELPHIA LLC
Active
Organization
MINIMALLY INVASIVE CARE INSTITUTE OF PHILADELPHIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES F MCGUCKIN MD (CEO)
(215) 240-6007
Entity
Organization
Contact information
Practice address
4220 MARKET ST FL 2, PHILADELPHIA, PA 19104-3007
(215) 240-6007
(215) 240-6373
Mailing address
4220 MARKET ST FL 2, PHILADELPHIA, PA 19104-3007
(215) 240-6007
(215) 240-6373
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
—
NULL
207RI0011X
Interventional Cardiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
NULL
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
NULL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
NULL
363LA2100X
Acute Care Nurse Practitioner
—
NULL
363LA2100X
Acute Care Nurse Practitioner
—
—
Other
Enumeration date
06/14/2017
Last updated
05/19/2021
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