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

PHILLYMEDCLUB PLLC

Active Organization

PHILLYMEDCLUB PLLC is a Family Medicine organization located in PHILADELPHIA, Pennsylvania. NPI 1912642703 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · PHILADELPHIA, PA

Registration Details

NPI Number
1912642703
Provider Type
Organization
NPI Issued
May 5, 2022 (4.0923643806058 yrs)
Last Updated
May 5, 2022

Practice Information

Address
1300 N 2ND ST OFC 101
PHILADELPHIA, PA, 191224594
Browse PA providers · Browse ZIP 19122
Phone
2157767308
Primary Specialty
Family Medicine
207Q00000X
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.