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Organization
ROOSEVELT FAMILY MEDICAL CENTER, INC.
Active
Organization
ROOSEVELT FAMILY MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAURICE SINGER D.O. (PRESIDENT)
(215) 676-3336
Entity
Organization
Contact information
Practice address
4517 N BROAD ST, PHILADELPHIA, PA 19140-1215
(215) 324-1900
(215) 324-4239
Mailing address
4517 N BROAD ST, PHILADELPHIA, PA 19140-1215
(215) 324-1900
(215) 324-4239
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0058484001
10 DIGIT HMO ID
PA
Enumeration date
08/28/2006
Last updated
08/22/2020
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