Organization Name: | PREFERRED PRIMARY CARE PHYSICIANS, INC. |
NPI Number: | 1194912600 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL J. LUTZ (EXECUTIVE DIRECTOR) |
Mailing Address: | 2375 Greentree Rd 2nd Floor Rear Carnegie |
State: | PA US |
Postal Code: | 151064203 |
Phone Number: | 4122491663 |
Fax Number: | 4122491665 |
NPI Enumeration Date: | 09/28/2007 |
NPI Last Update Date: | 09/28/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |