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NPI Code Detail

MEDICARE: HEALING ARTS CENTER LLC

MEDICARE: HEALING ARTS CENTER LLC
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
1171100000XAcupuncturist

General Provider Information

NPI Number : 1295368306
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALING ARTS CENTER LLC
Provider Business Mailing Address
First Line : 123 CHESTNUT ST STE 204
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19106-3051
Country : US
Telephone Number : 215-627-3782
Fax Number :
Provider Business Practice Location Address
First Line : 123 CHESTNUT ST STE 204
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19106-3051
Country : US
Telephone Number : 215-627-3782
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : STEVEN MAVROS
Credential : L.OM.
Telephone Number : 215-618-4531
Provider Enumeration Date : 02/17/2020
Last Update Date : 10/01/2025

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Directions to “HEALING ARTS CENTER LLC ” Practice Location

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