Organization
NORTHSTAR LLC
Active
Other names
Northstar Health LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND RAGLAND (OWNER)
(215) 301-1220
Entity
Organization
Contact information
Practice address
1432 KATER ST, PHILADELPHIA, PA 19146-1620
(609) 405-1575
Mailing address
1432 KATER ST, PHILADELPHIA, PA 19146-1620
(609) 405-1575
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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