Organization
PREMIUM MEDICAL CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUIKAI TIAN MD (MD, PHD)
(215) 459-7701
Entity
Organization
Contact information
Practice address
926 ARCH ST, PHILADELPHIA, PA 19107-1852
(267) 496-9873
Mailing address
926 ARCH ST, PHILADELPHIA, PA 19107-1852
(267) 496-9873
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD455256
PA
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
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