Organization
THE WEDGE MEDICAL CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK J PALMER (CEO)
(215) 276-3922
Entity
Organization
Contact information
Practice address
6701 N BROAD ST, PHILADELPHIA, PA 19126-2837
(215) 276-3922
(215) 924-4485
Mailing address
6701 N BROAD ST, PHILADELPHIA, PA 19126-2837
(215) 276-3922
(215) 924-4485
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
807376
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007281920002
—
PA
05
—
1007281920008
—
PA
Enumeration date
06/07/2006
Last updated
08/22/2020
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