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Organization
PENNSPORT INTERNAL MEDICINE GROUP, PC
Active
Organization
PENNSPORT INTERNAL MEDICINE GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH WINOKUR DO (PRESIDENT)
(215) 389-6120
Entity
Organization
Contact information
Practice address
1817 S 2ND ST, PHILA, PA 19148-1945
(215) 389-3368
(215) 389-1225
Mailing address
1817 S 2ND ST, PHILA, PA 19148-1945
(215) 389-3368
(215) 389-1225
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS003325L
PA
Other
Enumeration date
12/11/2007
Last updated
04/18/2016
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