Organization

Tabor-adams Internal Medicine Pc

Internal Medicine Physician in Philadelphia, PA(View on Map)

Legal Business Name

Tabor-adams Internal Medicine Pc

NPI Number

1346337581

NPI Type

Organization

Enumeration Date

10/09/2006

Specialties

(Taxonomies)

Code

207R00000X

Primary Taxonomy

Yes

Licenses

State

Pennsylvania

License Number

MD060716L

Contact
Information

Purpose

Mailing
Location

Address

1401 LORIMER AVE
6420 RISING SUN AVE

City

Huntingdon Valley
Philadelphia

State

PA
PA

Postal Code

19006-8111
19111-5229

Country

US
US

Telephone Number

(215) 288-8200
(215) 725-7550

Authorized Official

Name

Oung Thain

Title or Position

OWNER

Telephone Number

(215) 288-8200

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/31/2010

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