NPI | 1023655602 |
---|---|
Doing Business As | DEDICATED SENIOR MEDICAL CENTER SOUTH PHILADELPHIA |
Entity Type | Organization |
Authorized Contact | MARY CHEN Authorized Official 305-831-4722 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
Enumeration Date | 2019-12-03 |
Last Update Date | 2024-10-31 |