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

PENNSPORT INTERNAL MEDICINE GROUP, PC

Active Organization

PENNSPORT INTERNAL MEDICINE GROUP, PC is a Internal Medicine organization located in PHILA, Pennsylvania. NPI 1114100336 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · PHILA, PA

Registration Details

NPI Number
1114100336
Provider Type
Organization
NPI Issued
Dec 11, 2007 (18.663833397892 yrs)
Last Updated
Apr 18, 2016
License
OS003325L (PA)

Practice Information

Address
1817 S 2ND ST
PHILA, PA, 191481945
Browse PA providers · Browse ZIP 19148
Phone
2153893368
Fax
2153891225
Primary Specialty
Internal Medicine
207R00000X

Other Internal Medicine Organizations in PHILA, PA

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.