Organization
EPIC PHYSICIANS MEDICAL PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH V PONGONIS DO (MEDICAL DIRECTOR)
(215) 332-1300
Entity
Organization
Contact information
Practice address
8019 FRANKFORD AVE, PHILADELPHIA, PA 19136-2786
(215) 332-1300
(215) 332-5219
Mailing address
8019 FRANKFORD AVE, PHILADELPHIA, PA 19136-2786
(215) 332-1300
(215) 332-5219
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS004384-L
PA
Other
Enumeration date
11/15/2013
Last updated
05/16/2014
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