Provider Demographics
NPI:1902850720
Name:AMY ORLOFF, D.O. AND ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:AMY ORLOFF, D.O. AND ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:J
Authorized Official - Last Name:ORLOFF
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:215-627-1300
Mailing Address - Street 1:634 PINE ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19106-4109
Mailing Address - Country:US
Mailing Address - Phone:215-627-1300
Mailing Address - Fax:215-925-2126
Practice Address - Street 1:634 PINE ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19106-4109
Practice Address - Country:US
Practice Address - Phone:215-627-1300
Practice Address - Fax:215-925-2126
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2010-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty