MEDICARE: MEDICAL PROVIDERS PARTNERS PLLC

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
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1548038805
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL PROVIDERS PARTNERS PLLC

Provider Business Mailing Address
First Line	:	25 N LANSDOWNE AVE
Second Line	:
City	:	LANSDOWNE
State	:	PA
Zip	:	19050-2205
Country	:	US
Telephone Number	:	631-268-5644
Fax Number	:	610-545-0702

Provider Business Practice Location Address
First Line	:	25 N LANSDOWNE AVE
Second Line	:
City	:	LANSDOWNE
State	:	PA
Zip	:	19050-2205
Country	:	US
Telephone Number	:	631-268-5644
Fax Number	:	302-397-8282

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	FRANKLIN UGBODE
Credential	:	MD
Telephone Number	:	215-407-1646

Provider Enumeration Date	:	12/15/2023
Last Update Date	:	01/16/2026

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