PEACH STATE MEDICAL PRACTICE, PC

PHILADELPHIA, PA
NPI1174270805
Doing Business AsKINDBODY OF PA MEDICAL PRACTICE, PC
Entity TypeOrganization
Authorized ContactFAHIMEH SASAN
Founding Obgyn
855-563-2639
Organization Subpart ?No
Primary Taxonomy207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology
Additional Taxonomies207VG0400X Obstetrics & Gynecology, Gynecology
Enumeration Date2022-03-02
Last Update Date2024-05-20
Business Address
PEACH STATE MEDICAL PRACTICE, PC
1414 WALNUT ST
PHILADELPHIA, PA 19102-3824
Phone number: 855-563-2639
Mailing Address
PEACH STATE MEDICAL PRACTICE, PC
333 S DESPLAINES ST STE 201
CHICAGO, IL 60661-5514
Phone number: 855-563-2639