MEDICARE: PRIMARY HEALTH 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
1	207RI0011X	Interventional Cardiology Physician

General Provider Information

NPI Number	:	1275982084
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRIMARY HEALTH LLC

Provider Business Mailing Address
First Line	:	5600 CHESTNUT ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19139-3232
Country	:	US
Telephone Number	:	215-747-4511
Fax Number	:	215-476-1427

Provider Business Practice Location Address
First Line	:	5600 CHESTNUT ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19139-3232
Country	:	US
Telephone Number	:	215-747-4511
Fax Number	:	215-476-1427

Authorized Official
Title or Position	:	OWNER
Name	:	DR. HAYTHAM ALBIZEM
Credential	:	MD
Telephone Number	:	215-747-4511

Provider Enumeration Date	:	06/13/2016
Last Update Date	:	12/20/2024

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Directions to “PRIMARY HEALTH LLC ” Practice Location

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