Community Primary Care Center
NPI #1023550977 in Philadelphia, Pennsylvania
Provider Information
- NPI Number
- 1023550977
- Entity Type
- Organization
- Organization Name
- Community Primary Care Center
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Nov 9, 2016
- Last Updated
- Nov 9, 2016
Practice Location
- Address
- 702 W GIRARD AVE
- City
- Philadelphia
- State
- Pennsylvania
- ZIP Code
- 19123-1313
- Phone
- (215) 301-1193
Authorized Official
- Name
- MELISSA J TUCKER, CRNP
- Title
- OWNER
- Phone
- (215) 301-1193
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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