MEDICARE: TECH FREIRE CHARTER SCHOOL

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	251300000X	Local Education Agency (LEA)

General Provider Information

NPI Number	:	1992224919
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TECH FREIRE CHARTER SCHOOL

Provider Business Mailing Address
First Line	:	2221 N BROAD ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19132-4530
Country	:	US
Telephone Number	:	267-507-1111
Fax Number	:

Provider Business Practice Location Address
First Line	:	2221 N BROAD ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19132-4530
Country	:	US
Telephone Number	:	267-507-1111
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATIVE SPECIALIST
Name	:	MR. ADAM VISCONTO
Credential	:
Telephone Number	:	267-507-1111

Provider Enumeration Date	:	09/11/2017
Last Update Date	:	07/21/2022

Similar Medicare Providers

1437249463 — RITE AID OF PENNSYLVANIA LLC
Practice Location Address:

4530 NORTH 5TH STREET
PHILADELPHIA, PA
19140-1423

Practice Phone: 215-455-7330
Practice Fax:

1902124985 — JEFFREY SYEN RPH
Practice Location Address:

4530 N 5TH ST
PHILADELPHIA, PA
19140-1423

Practice Phone: 215-455-7330
Practice Fax:

1316251465 — JEAN CLAUDE DJELHI YAHOT PHARM. D
Practice Location Address:

4530 N 5TH ST
PHILADELPHIA, PA
19140-1423

Practice Phone: 215-455-7330
Practice Fax: 215-455-2990

1679981823 — CHRISTIN RAJU PHARMD
Practice Location Address:

4530 N 5TH ST
PHILADELPHIA, PA
19140-1423

Practice Phone: 215-455-7330
Practice Fax:

1093479073 — MCARTHUR MOBILE LABS
Practice Location Address:

4530 MAGEE AVE
PHILADELPHIA, PA
19135-2738

Practice Phone: 267-961-9217
Practice Fax:

1881381408 — SUSANNA TREVINO
Practice Location Address:

4530 N 5TH ST
PHILADELPHIA, PA
19140-1423

Practice Phone: 215-455-7330
Practice Fax: 215-455-2990

Directions to “TECH FREIRE CHARTER SCHOOL ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.