Provider Demographics
NPI:1184954505
Name:PHILLY PREGNANCY CENTER PC
Entity type:Organization
Organization Name:PHILLY PREGNANCY CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:OSSIE
Authorized Official - Middle Name:GEIFMAN
Authorized Official - Last Name:HOLTZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-627-2229
Mailing Address - Street 1:210A N 9TH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-1847
Mailing Address - Country:US
Mailing Address - Phone:215-627-2229
Mailing Address - Fax:215-627-2229
Practice Address - Street 1:210A N
Practice Address - Street 2:9TH STREET
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-1847
Practice Address - Country:US
Practice Address - Phone:215-627-2229
Practice Address - Fax:215-627-2229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-07
Last Update Date:2010-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD418934261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center