Organization · Type 2 NPI

Dedicated Pennsylvania Holding, LLC

Specialist · Philadelphia, PA

NPI number 1841707965 Active

Practice location

5675 N Front St Ste 141
Philadelphia, PA 19120-2719

Call (305) 628-6117 Map

Mailing address

1395 N.w/ 167th Street, Payer Enrollment Department
Miami Gardens, FL 33169

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed
Family Medicine Physician 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Geriatric Medicine (Internal Medicine) Physician 207RG0300XNone 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.

10 other providers at this address

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About NPI 1841707965

Dedicated Pennsylvania Holding, LLC's National Provider Identifier is 1841707965, issued on Jan 10, 2018. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 27, 2018.