# VANSANT MEDICINE, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538501192
- **Authorized official:** DR. MONIKA VANSANT D.O. (PRESIDENT)
- **Authorized official phone:** (215) 551-0200

## Contact information

- **Practice address:** 901 E PASSYUNK AVE, PHILADELPHIA, PA 19147-2924
- **Practice address phone:** (215) 551-0200
- **Practice address fax:** (215) 551-0209
- **Mailing address:** 901 E PASSYUNK AVE, PHILADELPHIA, PA 19147-2924
- **Mailing address phone:** (215) 551-0200
- **Mailing address fax:** (215) 551-0209

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | DC006091L | PA | — |
| 207QA0505X | Adult Medicine Physician | OS010207L | PA | Yes |
| 261QP2300X | Primary Care Clinic/Center | OS010207L | PA | — |

## Other

- **Enumeration date:** 07/24/2013
- **Last updated:** 07/24/2013