Phmc Immunization Program
NPI #1730321688 in Phildelphia, Pennsylvania
Provider Information
- NPI Number
- 1730321688
- Entity Type
- Organization
- Organization Name
- Phmc Immunization Program
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Mar 24, 2009
- Last Updated
- Mar 24, 2009
Practice Location
- Address
- 1430 CHERRY ST
- City
- Phildelphia
- State
- Pennsylvania
- ZIP Code
- 19102-1526
- Phone
- (215) 686-7150
Authorized Official
- Name
- MR. WILLIAM TINDALL
- Title
- CREDENTIALING
- Phone
- (215) 985-2523
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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