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

VINE STREET MEDICAL AND ASSOCIATES

Active Organization

VINE STREET MEDICAL AND ASSOCIATES is a Addiction Medicine (Family Practice) organization located in PHILADELPHIA, Pennsylvania. NPI 1861921389 is currently active in the NPPES registry. Verify at CMS.

Addiction Medicine (Family Practice) · PHILADELPHIA, PA

Registration Details

NPI Number
1861921389
Provider Type
Organization
NPI Issued
Jun 8, 2017 (9.1856343013753 yrs)
Last Updated
Sep 11, 2025
License
MD032595E (PA)

Practice Information

Address
6323 VINE ST
PHILADELPHIA, PA, 191391032
Browse PA providers · Browse ZIP 19139
Phone
2672925638
Fax
2672925648
Primary Specialty
Addiction Medicine (Family Practice)
207QA0401X
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.