Penn Integrative Medical And Dental Center, Inc.
Internal Medicine Physician in Philadelphia, PA(View on Map)
Legal Business Name
Penn Integrative Medical And Dental Center, Inc.
NPI Number
1952640187
NPI Type
Organization
Enumeration Date
02/07/2013
Specialties
(Taxonomies)Code
207R00000X
171100000X
133N00000X
Primary Taxonomy
Yes
No
No
Contact
Information
Purpose
Mailing
Location
Address
7130 RISING SUN AVE
7130 RISING SUN AVE
City
Philadelphia
Philadelphia
State
PA
PA
Postal Code
19111-3957
19111-3957
Country
US
US
Telephone Number
(215) 821-2305
(215) 821-2305
Authorized Official
Name
Dr. Julian Sanon
Title or Position
PRESIDENT / OWNER
Telephone Number
(215) 821-2305
Identifiers
Identifier
1027913640001
Identifier State
PA
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 05/03/2013
Provider Address
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