Organization
VIRTUAL PREVENTIVE CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATINA VIVIAN CARTER-GEIGER (CEO)
(484) 661-2257
Entity
Organization
Contact information
Practice address
160 LONG LN STE 3, UPPER DARBY, PA 19082-3439
(215) 847-7711
Mailing address
7018 SAYBROOK AVE, PHILADELPHIA, PA 19142-1124
(215) 847-7711
Taxonomy
Speciality
Code
Description
License number
State
207QP0002X
Physician Nutrition Specialist (Family Medicine)
Primary
—
—
207RP1002X
Physician Nutrition Specialist (Internal Medicine)
—
—
Other
Enumeration date
08/14/2025
Last updated
08/14/2025
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