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Contact Information

ARCHWELL HEALTH PROFESSIONAL SERVICES OF PENNSYLVANIA, PC
6201 GERMANTOWN AVE
PHILADELPHIA, PA19144-2033
 Phone: 888-987-1151
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ARCHWELL HEALTH PROFESSIONAL SERVICES OF PENNSYLVANIA, PC

NPI # 1265238877
LBN Legal business name ARCHWELL HEALTH PROFESSIONAL SERVICES OF PENNSYLVANIA, PC
Authorized official AMY MODDESETTE - (SR. DIRECTOR, MANAGED CARE OPS)
Entity Organization
Organization subpart 1 No
Enumeration date 02/24/2025
Last updated 02/13/2026 - About 4 months 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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