# OGONTZ FAMILY MEDICAL, P.C.

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

## Provider details

- **NPI number:** 1841524089
- **Authorized official:** MR. JEFFREY LINCOW (GENERAL MANAGER)
- **Authorized official phone:** (215) 224-8980

## Contact information

- **Practice address:** 7622 OGONTZ AVE, PHILADELPHIA, PA 19150-1817
- **Practice address phone:** (215) 224-8980
- **Practice address fax:** (215) 893-4704
- **Mailing address:** 7622 OGONTZ AVE, PHILADELPHIA, PA 19150-1817
- **Mailing address phone:** (215) 224-8980
- **Mailing address fax:** (215) 893-4704

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/21/2009
- **Last updated:** 01/08/2010