ADVANGARDE; NPI #1073999413

Contact Information

ADVANGARDE

604 S WASHINGTON SQ
PHILADELPHIA, PA 19106-4118

Phone: 609-254-0626
Fax: 609-254-0621
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Voluntary or Charitable	251V00000X	61	Voluntary Health or Charitable Agency[1]

Indicates primary specialty

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NPI Profile & details for ADVANGARDE

NPI #	`1073999413`
LBN Legal business name	ADVANGARDE
Authorized official	SCOTT CARTER - (PRESIDENT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	08/08/2015
Last updated	08/08/2015 - About 11 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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ADVANGARDE

Contact Information

Specialty

Voluntary or Charitable

NPI Profile & details for ADVANGARDE

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