institution
The Wedge Medical Center, P.c.
Professional Counselor in Philadelphia, Pennsylvania
NPI 1053538447

The Wedge Medical Center, P.c. is a Professional Counselor based in Philadelphia, PA and is specialized in Professional. The Wedge Medical Center, P.c. practices in Philadelphia, PA. The NPI Number for The Wedge Medical Center, P.c. is 1053538447 and holds a License No. 807376 (Pennsylvania).

The current practice location address for The Wedge Medical Center, P.c. is 3609 N Broad St, Philadelphia, PA and can be reached out via phone at 215-223-1100 and via fax at 215-223-1200.

Location: 3609 N Broad St, Philadelphia, PA, 19140-4107
institution
Provider Profile Details
NPI Number
1053538447
Provider Name
The Wedge Medical Center, P.c.
Credential
Provider Entity Type
Organization
Address
3609 N Broad St, Philadelphia, PA, 19140-4107
Phone Number
215-223-1100
Fax Number
215-223-1200
Provider Enumeration Date
04/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1007281920005 05 PA
1007281920009 05 PA
institution
Provider Business Practice Location Address Details
Address
3609 N Broad St
City
State
Zip
19140-4107
Phone Number
215-223-1100
Fax Number
215-223-1200
person
Provider Business Mailing Address Details
Address
3609 N Broad St
City
State
Zip
19140-4107
Phone Number
215-223-1100
Fax Number
215-223-1200
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
807376 (Pennsylvania)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
807376 (Pennsylvania)
Definition
Definition to come...
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