Healthcare Provider Details

I. General information

NPI: 1326382888
Provider Name (Legal Business Name): ART OF MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2012
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

237 CLIFTON AVE
COLLINGDALE PA
19023-3713
US

IV. Provider business mailing address

237 CLIFTON AVE
COLLINGDALE PA
19023-3713
US

V. Phone/Fax

Practice location:
  • Phone: 215-238-9055
  • Fax:
Mailing address:
  • Phone: 215-238-9055
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License NumberPP482313
License Number StatePA

VIII. Authorized Official

Name: JACK KORBUTOV
Title or Position: PRESIDENT
Credential:
Phone: 215-238-9055