Organization
OLD CITY EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS F. POWELL DO (MEDICAL DIRECTOR)
(215) 787-9068
Entity
Organization
Contact information
Practice address
16TH STREET AND GIRARD AVENUES, PHILADELPHIA, PA 19130
(215) 787-9068
(215) 787-9286
Mailing address
100 WITMER RD, SUITE 220, HORSHAM, PA 19044-2211
(215) 442-5051
(215) 957-2875
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012951100001
—
PA
01
—
PH1741221
BLUE SHIELD
PA
Enumeration date
05/17/2006
Last updated
04/20/2008
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