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Organization

GREATER PHILADELPHIA HEALTH ACTION, INC.

Active
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Organization

GREATER PHILADELPHIA HEALTH ACTION, INC.

Active
Other names
GPHA Inc Nutritionist Group
Organization subpart
No

Provider details

NPI number
Authorized official
MS. D TINA SMITH (PROVIDER ENROLLMENT SPEC.)
(215) 925-2400
Entity
Organization

Contact information

Practice address
4510 FRANKFORD AVE, PHILADELPHIA, PA 19124-3602
(215) 744-1302
(215) 744-2544
Mailing address
1401 S 31ST ST, 2ND FLOOR, PHILADELPHIA, PA 19146-3506
(215) 925-2400
(215) 925-9162

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
261Q00000X
Clinic/Center
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
03/04/2010
Last updated
04/03/2017
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