NPI 1023556875

Bralow Medical Group

Organisation General Practice Physician Philadelphia, PA

Practice location

Address: 834 South St., Philadelphia, PA 19147
Phone: (610) 986-4827
Fax: (610) 660-0877
Mailing address: 834 South Street, Philadelphia, PA 19147

Authorised official

Name: Vicki L Bralow
Title: President
Phone: (610) 986-4827

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence OS006570L (PA)

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Registry record

NPI: 1023556875
Entity type: Organization
NPI issued: 1 Feb 2017
Record last updated: 28 Feb 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.