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Organization
7622 MEDICAL CENTER, INC.
Active
Organization
7622 MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE BYNUM (MEDICARE DEPARTMENT)
(215) 224-8980
Entity
Organization
Contact information
Practice address
7622 OGONTZ AVE, PHILADELPHIA, PA 19150-1817
(215) 224-8980
(215) 224-9342
Mailing address
7622 OGONTZ AVE, PHILADELPHIA, PA 19150-1817
(215) 224-8980
(215) 224-9342
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
11/08/2006
Last updated
05/02/2008
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