Organization · Type 2 NPI
Bustleton Healthcare
Primary Care Clinic/Center · Philadelphia, PA
NPI number
1588107668
Active
Practice location
9867 Bustleton Ave, Suite B
Philadelphia, PA 19115-2611
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | MD 435017 (PA) |
| Primary Care Clinic/Center Primary | 261QP2300X | MD 435017 (PA) |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1588107668
Bustleton Healthcare's National Provider Identifier is 1588107668, issued on Nov 22, 2016. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 22, 2016.