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Organization
PRIMECARE PHILADELPHIA PC
Active
Organization
PRIMECARE PHILADELPHIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE DEPMAN (PRACTICE DIRECTOR)
(215) 333-6888
Entity
Organization
Contact information
Practice address
3542 WELSH RD, PHILADELPHIA, PA 19136-2623
(215) 333-6888
(215) 333-3945
Mailing address
3542 WELSH RD, PHILADELPHIA, PA 19136-2623
(215) 333-6888
(215) 333-3945
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3815716002
INDEPENDENCE BLUE CROSS
PA
Enumeration date
04/18/2013
Last updated
04/18/2013
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