institution
Roman Dykyj Jr Md Pc
Primary Care Clinic/Center in Philadelphia, Pennsylvania
NPI 1689850901

Roman Dykyj Jr Md Pc is a Primary Care Clinic/Center based in Philadelphia, PA and is specialized in Primary Care. Roman Dykyj Jr Md Pc practices in Philadelphia, PA. The NPI Number for Roman Dykyj Jr Md Pc is 1689850901 and holds a License No. MD027187E (Pennsylvania).

The current practice location address for Roman Dykyj Jr Md Pc is 8151 Revere St, Philadelphia, PA and can be reached out via phone at 215-624-6855.

Location: 8151 Revere St, Philadelphia, PA, 19152-3002
institution
Provider Profile Details
NPI Number
1689850901
Provider Name
Roman Dykyj Jr Md Pc
Credential
Provider Entity Type
Organization
Address
8151 Revere St, Philadelphia, PA, 19152-3002
Phone Number
215-624-6855
Fax Number
Provider Enumeration Date
01/16/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0054192000 01 PA INDEPENDENT BLUE CROSS
0054192001 01 PA KEYSTONE HPE
2061288 01 PA AETNA
A00995 01 PA AMERIHEALTH ADMINISTRATOR
institution
Provider Business Practice Location Address Details
Address
8151 Revere St
City
State
Zip
19152-3002
Phone Number
215-624-6855
Fax Number
person
Provider Business Mailing Address Details
Address
8151 Revere St
City
State
Zip
19152-3002
Phone Number
215-624-6855
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
MD027187E (Pennsylvania)
Definition
Definition to come...
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