Dedicated Pennsylvania Holding, LLC
NPI #1023655602 in Philadelphia, Pennsylvania
Provider Information
- NPI Number
- 1023655602
- Entity Type
- Organization
- Organization Name
- Dedicated Pennsylvania Holding, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DEDICATED PENNSYLVANIA HOLDING, LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Dec 3, 2019
- Last Updated
- Oct 31, 2024
Practice Location
- Address
- 330 W OREGON AVE # 170
- City
- Philadelphia
- State
- Pennsylvania
- ZIP Code
- 19148-4723
- Phone
- (305) 628-6117
Authorized Official
- Name
- MARY CHEN
- Title
- AUTHORIZED OFFICIAL
- Phone
- (305) 831-4722
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
| Internal Medicine |
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