Provider Demographics
NPI:1437514361
Name:PROGRESSIVE INJURYCARE, P.C.
Entity Type:Organization
Organization Name:PROGRESSIVE INJURYCARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND SECRETARY
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:H
Authorized Official - Last Name:SORKIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:215-681-1550
Mailing Address - Street 1:1880 LIPPINCOTT RD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-7925
Mailing Address - Country:US
Mailing Address - Phone:215-681-1550
Mailing Address - Fax:215-465-4001
Practice Address - Street 1:2318 S BROAD ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19145-4455
Practice Address - Country:US
Practice Address - Phone:215-465-4000
Practice Address - Fax:215-465-4001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-18
Last Update Date:2015-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC005950L261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service