Organization · Type 2 NPI
Philadelphia Va Medica Center
Medical Specialty Clinic/Center · Philadelphia, PA
Practice location
Padrecc , Philadelphia Va Medical Center, University And Woodland Avenue
Philadelphia, PA 19104
Fax (215) 823-4603
Mailing address
4816 Pine St, Apt B202
Philadelphia, PA 19143-1721
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | 086131 (OH) |
Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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About NPI 1326188970
Philadelphia Va Medica Center's National Provider Identifier is 1326188970, issued on Feb 6, 2007. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 22, 2020.