Organization
INDEPENDENT PHYSICIANS MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA NARASAKI (MANAGER)
(215) 464-3300
Entity
Organization
Contact information
Practice address
9908 ROOSEVELT BLVD, PHILADELPHIA, PA 19115-1705
(215) 464-3300
Mailing address
9908 ROOSEVELT BLVD, PHILADELPHIA, PA 19115-1705
(215) 464-3300
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
Other
Enumeration date
07/03/2018
Last updated
07/03/2018
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