institution
University Neurosurgical, Pc
Sports Medicine (Neuromusculoskeletal Medicine) Physician in Philadelphia, Pennsylvania
NPI 1942254511

University Neurosurgical, Pc is a Sports Medicine (Neuromusculoskeletal Medicine) Physician based in Philadelphia, PA. University Neurosurgical, Pc practices in Philadelphia, PA. The NPI Number for University Neurosurgical, Pc is 1942254511 and holds a License No. MD037547L (Pennsylvania).

The current practice location address for University Neurosurgical, Pc is 2630 Holme Ave, Philadelphia, PA and can be reached out via phone at 215-331-0126 and via fax at 215-331-0520.

Location: 2630 Holme Ave, Philadelphia, PA, 19152-3009
institution
Provider Profile Details
NPI Number
1942254511
Provider Name
University Neurosurgical, Pc
Credential
Provider Entity Type
Organization
Address
2630 Holme Ave, Philadelphia, PA, 19152-3009
Phone Number
215-331-0126
Fax Number
215-331-0520
Provider Enumeration Date
05/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0092191204 01 PA AMERICHOICE
0010204560002 05 PA
2362350000 01 PA KEYSTONE EAST
30830 01 PA KEYSTONE MERCY
00530 01 PA HEALTH PARTNERS
30039 01 PA AETNA
institution
Provider Business Practice Location Address Details
Address
2630 Holme Ave
City
State
Zip
19152-3009
Phone Number
215-331-0126
Fax Number
215-331-0520
person
Provider Business Mailing Address Details
Address
2630 Holme Ave
City
State
Zip
19152-3009
Phone Number
215-331-0126
Fax Number
215-331-0520
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Neuromusculoskeletal Medicine, Sports Medicine
Speciality
-
Taxonomy
License No.
MD037547L (Pennsylvania)
Definition
Definition to come.
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