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NPI Code Detail

MEDICARE: PREVENTION POINT PHILADELPHIA

MEDICARE: PREVENTION POINT PHILADELPHIA
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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1679043152
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREVENTION POINT PHILADELPHIA
Provider Business Mailing Address
First Line : PO BOX 60990
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19133-0990
Country : US
Telephone Number : 215-589-5555
Fax Number : 215-634-5271
Provider Business Practice Location Address
First Line : 2913-15 KENSINGTON AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19134-3016
Country : US
Telephone Number : 609-505-9287
Fax Number :
Authorized Official
Title or Position : INTERIM LEAD EXECUTIVE OFFICIER
Name : SILVANA MAZZELLA
Credential :
Telephone Number : 215-975-5419
Provider Enumeration Date : 11/28/2018
Last Update Date : 09/12/2025

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Directions to “PREVENTION POINT PHILADELPHIA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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