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Organization
PHILADELPHIA FAMILY MEDICNE ASSOC P.C.
Active
Organization
PHILADELPHIA FAMILY MEDICNE ASSOC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH P DIRENZO JR. D.O. (PRESIDENT)
(215) 389-7766
Entity
Organization
Contact information
Practice address
1028 W OREGON AVE, PHILADELPHIA, PA 19148-4421
(215) 389-7766
(215) 389-0227
Mailing address
1028 W OREGON AVE, PHILADELPHIA, PA 19148-4421
(215) 389-7766
(215) 389-0227
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS009019L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015771060001
—
PA
Enumeration date
05/15/2006
Last updated
07/15/2021
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