Lifeline Health and Wellness Physician Specialty Group
NPI #1225384563 in Philadelphia, Pennsylvania
Provider Information
- NPI Number
- 1225384563
- Entity Type
- Organization
- Organization Name
- Lifeline Health and Wellness Physician Specialty Group
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jul 24, 2012
- Last Updated
- Jul 24, 2012
Practice Location
- Address
- 1341 N DELAWARE AVE
- Address 2
- SUITE 307
- City
- Philadelphia
- State
- Pennsylvania
- ZIP Code
- 19125-4300
- Phone
- (215) 922-9334
Authorized Official
- Name
- ARTHUR PAUL MIRIANA
- Title
- CEO
- Phone
- 16097036905
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
| Family Medicine |
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