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NPI Code Detail

MEDICARE: NORTH PHILADELPHIA HEALTH SYSTEM

MEDICARE: NORTH PHILADELPHIA HEALTH SYSTEM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2117014OTHERPACOMMUNITY BEHAVIOR HEALTH

General Provider Information

NPI Number : 1164445128
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTH PHILADELPHIA HEALTH SYSTEM
Provider Business Mailing Address
First Line : 801 W GIRARD AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19122-4212
Country : US
Telephone Number : 215-787-2000
Fax Number : 215-787-2115
Provider Business Practice Location Address
First Line : 801 W GIRARD AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19122-4212
Country : US
Telephone Number : 215-787-2000
Fax Number : 215-787-2115
Authorized Official
Title or Position : CEO/PRESIDENT
Name : MS. GERRI H WALKER
Credential :
Telephone Number : 215-787-9001
Provider Enumeration Date : 07/25/2006
Last Update Date : 02/22/2020

Similar Medicare Providers

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Practice Location Address:
801 W GIRARD AVE
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19122-4212
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Practice Fax:
1053312272 — GIRISH SHAH MD
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1194726323 — NORTH PHILADELPHIA HEALTH SYSTEM
Practice Location Address:
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PHILADELPHIA, PA
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1871581868 — JAVED JOY MD
Practice Location Address:
801 W GIRARD AVE
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19122-4212
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Practice Fax:
1598798928 — THE BEHAVIORAL WELLNESS CENTER AT GIRARD
Practice Location Address:
801 W GIRARD AVE
PHILADELPHIA, PA
19122-4212
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1306975115 — THE BEHAVIORAL WELLNESS CENTER AT GIRARD
Practice Location Address:
801 W GIRARD AVE
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19122-4212
Practice Phone: 215-787-2460
Practice Fax: 215-787-2321

Directions to “NORTH PHILADELPHIA HEALTH SYSTEM ” Practice Location

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