City of Philadelphia

NPI #1023125085 in Philadelphia, Pennsylvania

Provider Information

NPI Number
1023125085
Entity Type
Organization
Organization Name
City of Philadelphia
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Aug 24, 2006
Last Updated
Nov 25, 2019

Practice Location

Address
321 W GIRARD AVE
ZIP Code
19123-1531
Phone
(215) 685-3808

Authorized Official

Name
CHRISTINE GADDY
Title
BILLING MANAGER
Phone
(215) 685-6843

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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