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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PENNCARE-J. EDWIN WOOD CLINIC

Active Organization

PENNCARE-J. EDWIN WOOD CLINIC is a Non-Pharmacy Dispensing Site organization located in PHILADELPHIA, Pennsylvania. NPI 1104967918 is currently active in the NPPES registry. Verify at CMS.

Non-Pharmacy Dispensing Site · PHILADELPHIA, PA

Registration Details

NPI Number
1104967918
Provider Type
Organization
NPI Issued
Feb 12, 2007 (19.526055527697 yrs)
Last Updated
Dec 4, 2012
License
OS012672 (PA)

Practice Information

Address
700 SPRUCE ST
304
PHILADELPHIA, PA, 191064022
Browse PA providers · Browse ZIP 19106
Phone
2158293532
Primary Specialty
Non-Pharmacy Dispensing Site
332900000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.