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Contact Information

AR MEDICAL PC
6100 WOODLAND AVE
PHILADELPHIA, PA19142-3224
 Phone: 732-306-1724
 Fax: 267-535-2757
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for AR MEDICAL PC

NPI # 1780987610
LBN Legal business name AR MEDICAL PC
Authorized official ALEXANDER RUSANOV - (MEDICAL DIRECTOR/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/15/2010
Last updated 12/15/2010 - About 15 years ago
Identifiers
PA License # MD436215
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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