Acute Care Physicians of Philadelphia LLC
Organization Active NPI Critical Care Medicine (Internal Medicine) Physician · Philadelphia, PA
NPI 1053766089 · NPPES record last updated Apr 27, 2016
Key facts
- NPI
- 1053766089
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician 207RC0200X
- License
- MD431989 (PA)
- Legal business name
- ACUTE CARE PHYSICIANS OF PHILADELPHIA LLC
- Practice address
- 1930 S Broad St
Philadelphia, PA 19145-2328 - Phone
- (856) 381-9598
- NPI assigned
- Apr 27, 2016
- Organization subpart
- No
Authorized official
- Name
- Dr. Imran A Mirza, M.D.
- Title
- Owner
- Phone
- (856) 381-9598
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician |
207RC0200X | MD431989 | PA | Yes |
Addresses
Primary practice location
1930 S Broad St
Philadelphia, PA 19145-2328
Mailing address
PO Box 69
Mickleton, NJ 08056-0069
Phone (856) 381-9598
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.