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Organization

POPLAR MEDICAL GROUP,LLC

Active
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Organization

POPLAR MEDICAL GROUP,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DENNIS ENEANYA MD (PRESIDENT)
(215) 671-4280
Entity
Organization

Contact information

Practice address
2100 W GIRARD AVE, PHILADELPHIA, PA 19130-1400
(215) 685-0800
(215) 685-0846
Mailing address
PO BOX 687, JENKINTOWN, PA 19046-3706
(215) 671-4280
(215) 464-9034

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
207RN0300X
Nephrology Physician
207RP1001X
Pulmonary Disease Physician
207RS0012X
Sleep Medicine (Internal Medicine) Physician

Other

Enumeration date
07/31/2019
Last updated
07/31/2019
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