NPI 1063017572

Northstar LLC

Organisation General Practice Physician Philadelphia, PA

Practice location

Address: 1432 Kater St, Philadelphia, PA 19146-1620
Phone: (609) 405-1575

Authorised official

Name: Raymond Ragland
Title: Owner
Phone: (215) 301-1220

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

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Registry record

NPI: 1063017572
Entity type: Organization
NPI issued: 2 Dec 2020
Record last updated: 2 Dec 2020

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.