MEDICARE: PIZZICA 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
1	208000000X	Pediatrics Physician

General Provider Information

NPI Number	:	1174620587
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PIZZICA HEALTH SYSTEM

Provider Business Mailing Address
First Line	:	100 E LEHIGH AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19125-1012
Country	:	US
Telephone Number	:	215-707-0159
Fax Number	:	215-707-1049

Provider Business Practice Location Address
First Line	:	2361 E SUSQUEHANNA AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19125-2930
Country	:	US
Telephone Number	:	215-427-3323
Fax Number	:	215-427-3321

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	LOUISE T HOLMES
Credential	:
Telephone Number	:	215-707-1050

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	08/22/2020

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Directions to “PIZZICA HEALTH SYSTEM ” Practice Location

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