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Contact Information

CITY COMMUNITY CARE
2234 BRYN MAWR AVE STE 6
PHILADELPHIA, PA19131-2308
 Phone: 215-836-8500
 Fax: 215-836-8503
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for CITY COMMUNITY CARE · (Female)

NPI # 1477369734
Status Active
Credentials
Entity Individual
Enumeration date 12/10/2024
Last updated 12/17/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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