LIFELINE HEALTH AND WELLNESS PHYSICIAN SPECIALTY GROUP

PHILADELPHIA, PA
NPI1225384563
Entity TypeOrganization
Authorized ContactARTHUR PAUL MIRIANA
CEO
1609-703-6905
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Additional Taxonomies208D00000X General Practice
Enumeration Date2012-07-24
Last Update Date2012-07-24
Business Address
LIFELINE HEALTH AND WELLNESS PHYSICIAN SPECIALTY GROUP
1341 N DELAWARE AVE SUITE 307
PHILADELPHIA, PA 19125-4300
Phone number: 215-922-9334
Mailing Address
LIFELINE HEALTH AND WELLNESS PHYSICIAN SPECIALTY GROUP
1341 N DELAWARE AVE SUITE 307
PHILADELPHIA, PA 19125-4300
Phone number: 215-922-9334