BUSTLETON HEALTHCARE

PHILADELPHIA, PA
NPI1588107668
Entity TypeOrganization
Authorized ContactIRINA JOUKOVA
President
267-307-9236
Organization Subpart ?Yes
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
(Licence: PA  MD 435017)
Additional Taxonomies261QM2500X Clinic/Center, Medical Specialty
(Licence: PA  MD 435017)
Enumeration Date2016-11-22
Last Update Date2016-11-22
Business Address
BUSTLETON HEALTHCARE
9867 BUSTLETON AVE SUITE B
PHILADELPHIA, PA 19115-2611
Phone number: 215-698-9295
Mailing Address
BUSTLETON HEALTHCARE
9867 BUSTLETON AVE SUITE B
PHILADELPHIA, PA 19115-2611
Phone number: