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NPI Code Detail

MEDICARE: THE WEDGE MEDICAL CENTER, P.C.

MEDICARE: THE WEDGE MEDICAL CENTER, P.C.
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
1101YA0400XAddiction (Substance Use Disorder) Counselor807376PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508806886
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE WEDGE MEDICAL CENTER, P.C.
Provider Business Mailing Address
First Line : 6701 N BROAD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19126-2837
Country : US
Telephone Number : 215-276-3922
Fax Number : 215-924-4485
Provider Business Practice Location Address
First Line : 6701 N BROAD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19126-2837
Country : US
Telephone Number : 215-276-3922
Fax Number : 215-924-4485
Authorized Official
Title or Position : CEO
Name : MR. PATRICK J PALMER
Credential :
Telephone Number : 215-276-3922
Provider Enumeration Date : 06/07/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

1063464055 — WMC
Practice Location Address:
6701 N BROAD ST
PHILADELPHIA, PA
19126-2837
Practice Phone: 215-276-3922
Practice Fax: 215-924-4485
1669492047 — MINDA B MAGUNDAYAO M.D.
Practice Location Address:
6701 N BROAD ST
PHILADELPHIA, PA
19126-2837
Practice Phone: 215-276-3922
Practice Fax: 215-276-8199
1083716286 — DAVID M AUSTRIA M.D.
Practice Location Address:
6701 N BROAD ST
PHILADELPHIA, PA
19126-2837
Practice Phone: 215-276-3922
Practice Fax: 215-276-8199
1619079738 — HENRICK BADKERHANIAN M.D.
Practice Location Address:
6701 N BROAD ST
PHILADELPHIA, PA
19126-2837
Practice Phone: 215-276-3922
Practice Fax: 215-276-8199
1801184882 — JOHN A MALLINEN M.A., LPC
Practice Location Address:
6701 N BROAD ST
PHILADELPHIA, PA
19126-2837
Practice Phone: 215-276-3922
Practice Fax:
1396024758 — MRS. JOANNE MARIE PALMER LPC, CAC
Practice Location Address:
6701 N BROAD ST
PHILADELPHIA, PA
19126-2837
Practice Phone: 215-276-3922
Practice Fax: 215-276-8199

Directions to “THE WEDGE MEDICAL CENTER, P.C. ” Practice Location

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