Organization · Type 2 NPI

Dedicated Pennsylvania Holding, LLC

Specialist · Philadelphia, PA

NPI number 1366950776 Active

Practice location

5675 N. Front Strreet, Suite 141
Philadelphia, PA 19120-1910

Fax (305) 363-5989

Mailing address

1395 NW 167th St
Miami Gardens, FL 33169-5710

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed
Primary Care Clinic/Center 261QP2300XNone listed
Non-Pharmacy Dispensing Site 332900000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1366950776

Dedicated Pennsylvania Holding, LLC's National Provider Identifier is 1366950776, issued on Jan 19, 2018. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 31, 2024.