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Bustleton Healthcare
Primary Care Clinic/Center in Philadelphia, Pennsylvania
NPI 1588107668

Bustleton Healthcare is a Primary Care Clinic/Center based in Philadelphia, PA and is specialized in Primary Care. Bustleton Healthcare practices in Philadelphia, PA. The NPI Number for Bustleton Healthcare is 1588107668 and holds a License No. MD 435017 (Pennsylvania).

The current practice location address for Bustleton Healthcare is 9867 Bustleton Ave, Philadelphia, PA and can be reached out via phone at 215-698-9295.

Location: 9867 Bustleton Ave, Philadelphia, PA, 19115-2611
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588107668
Provider Name
Bustleton Healthcare
Credential
Provider Entity Type
Organization
Address
9867 Bustleton Ave, Philadelphia, PA, 19115-2611
Phone Number
215-698-9295
Fax Number
Provider Enumeration Date
11/22/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
102790572 0001 05 PA
institution
Provider Business Practice Location Address Details
Address
9867 Bustleton Ave
City
Philadelphia
State
Pennsylvania
Zip
19115-2611
Phone Number
215-698-9295
Fax Number
person
Provider Business Mailing Address Details
Address
9867 Bustleton Ave
City
Philadelphia
State
Pennsylvania
Zip
19115-2611
Phone Number
215-698-9295
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
MD 435017 (Pennsylvania)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
MD 435017 (Pennsylvania)
Definition
Definition to come...
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