Organization
DOWNTOWN GENERAL MEDICINE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT FORTINO D.O. (OWNER)
(215) 336-8000
Entity
Organization
Contact information
Practice address
1913 S BROAD ST, PHILADELPHIA, PA 19148-2216
(215) 336-8000
(215) 336-8029
Mailing address
1913 S BROAD ST, PHILADELPHIA, PA 19148-2216
(215) 336-8000
(215) 336-8029
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
OS009599L
PA
Other
Enumeration date
08/15/2007
Last updated
08/15/2007
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