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Organization
URBAN HEALTH INITIATIVES, INC.
Active
Organization
URBAN HEALTH INITIATIVES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KOBIE T WEST (CEO)
(215) 755-0700
Entity
Organization
Contact information
Practice address
1408 S BROAD ST, PHILADELPHIA, PA 19146-4808
(215) 755-0700
(215) 755-6487
Mailing address
1408 SOUTH BROAD STREET, PHILADELPHIA, PA 19146-4808
(215) 755-0700
(215) 755-6487
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
—
NULL
152WV0400X
Vision Therapy Optometrist
—
—
207RC0000X
Cardiovascular Disease Physician
—
NULL
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
NULL
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025626480001
—
PA
Enumeration date
10/18/2011
Last updated
10/18/2011
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