Organization
EASTWICK PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOYCE M FOX OFFICE MANAGER (OFFICE MANAGER)
(215) 492-8800
Entity
Organization
Contact information
Practice address
2801 ISLAND RD, SUITE 10 11, PHILA, PA 19153-2326
(215) 492-8800
(215) 492-6421
Mailing address
2801 ISLAND AVE, SUITE 10 11, PHILA, PA 19153-2326
(215) 492-8800
(215) 492-6421
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD024544L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
144292
BS
PA
Enumeration date
09/21/2006
Last updated
05/11/2011
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