Organization
JAMES L. TWEEDY D.O. & ASSOCIATES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES L. TWEEDY D.O. (PRESIDENT)
(215) 334-6762
Entity
Organization
Contact information
Practice address
724 W PORTER ST, PHILADELPHIA, PA 19148-3841
(215) 334-6762
(215) 271-2338
Mailing address
724 W PORTER ST, PHILADELPHIA, PA 19148-3841
(215) 334-6762
(215) 271-2338
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00704456
—
PA
01
—
0273261001
BLUE SHIELD
PA
Enumeration date
06/02/2006
Last updated
02/23/2012
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