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

PROACTIVE PHYSICAL MEDICINE, LLC

Active Organization

Medical Specialty Clinic · PHILADELPHIA, PA

Registration Details

NPI Number
1437349131
Provider Type
Organization
NPI Issued
Jul 29, 2007 (18.729684907432 yrs)
Last Updated
Sep 1, 2009

Practice Information

Address
1331 E WYOMING AVE
SUITE 1100
PHILADELPHIA, PA, 191243808
Browse PA providers · Browse ZIP 19124
Phone
2157444030
Fax
2157444582
Primary Specialty
Medical Specialty Clinic
261QM2500X

Other Medical Specialty Clinic Organizations in PHILADELPHIA, 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.