Organization · Type 2 NPI

Northern Liberties Wellness Group

General Practice Physician · Philadelphia, PA

NPI number 1457737967 Active

Practice location

520 N Columbus Blvd, Suite 202
Philadelphia, PA 19123-4226

Fax (215) 239-3098

Mailing address

PO Box 9900
Hamilton, NJ 08650-1900

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Chiropractor 111NR0400XDC002363 (PA)
General Practice Physician Primary 208D00000XOS011923 (PA)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

6 other providers at this address

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About NPI 1457737967

Northern Liberties Wellness Group's National Provider Identifier is 1457737967, issued on Aug 6, 2015. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 6, 2015.