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Peach State Medical Practice, Pc
Gynecology Physician in Philadelphia, Pennsylvania
NPI 1174270805

Peach State Medical Practice, Pc is a Gynecology Physician based in New York, PA and is specialized in Gynecology. Peach State Medical Practice, Pc practices in Philadelphia, PA. The NPI Number for Peach State Medical Practice, Pc is 1174270805 and holds a License No. (Pennsylvania).

The current practice location address for Peach State Medical Practice, Pc is 200 S Broad St, Philadelphia, PA and can be reached out via phone at 855-563-2639.

Location: 200 S Broad St, Philadelphia, PA, 10011-5638
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174270805
Provider Name
Peach State Medical Practice, Pc
Credential
Provider Entity Type
Organization
Address
200 S Broad St, Philadelphia, PA, 10011-5638
Phone Number
855-563-2639
Fax Number
Provider Enumeration Date
03/02/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
200 S Broad St
City
Philadelphia
State
Pennsylvania
Zip
19102-3803
Phone Number
855-563-2639
Fax Number
person
Provider Business Mailing Address Details
Address
200 S Broad St
City
Philadelphia
State
Pennsylvania
Zip
19102-3803
Phone Number
855-563-2639
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Reproductive Endocrinology
Taxonomy
207VE0102X
License No.
()
Definition
An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
207VG0400X
License No.
()
Definition
Definition to come...
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