Pediatric & Preventive Medicine Assoc Pc
Pediatrics Physician in Philadelphia, PA(View on Map)
Legal Business Name
Pediatric & Preventive Medicine Assoc Pc
NPI Number
1447311576
NPI Type
Organization
Enumeration Date
12/13/2006
Specialties
(Taxonomies)Licenses
State
Pennsylvania
License Number
MD039729L
Contact
Information
Purpose
Mailing
Location
Address
3847 NORTH SYDENHAM STREET
4035 POWELTON AVE
City
Philadelphia
Philadelphia
State
PA
PA
Postal Code
19140
19104-2262
Country
US
US
Telephone Number
(215) 227-3300
(215) 471-7000
Authorized Official
Name
Randall Drain
Title or Position
PRESIDENT OWNER
Telephone Number
(215) 227-3300
Identifiers
Identifier
1054660
Identifier State
PA
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/11/2016
Provider Address
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