Organization
MEMPHIS STREET PEDIATRICS LLC
Active
Other names
Memphis Street Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
LOUISE T HOLMES (PRACTICE MANAGER)
(215) 707-1059
Entity
Organization
Contact information
Practice address
3380 MEMPHIS ST, PHILADELPHIA, PA 19134-4510
(215) 426-5566
(215) 739-7304
Mailing address
3380 MEMPHIS ST, PHILADELPHIA, PA 19134-4510
(215) 426-5566
(215) 739-7304
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
09/14/2006
Last updated
09/15/2010
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