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OrganizationMedicare enrolled
Pinewood Medical Group
Nurse Practitioner · Philadelphia, PA
Source: NPPES NPI RegistryFetched 2026-10-20
Public record
- NPI
- 1000000586
- Enumeration date
- 2016-06-05
- Last updated
- 2026-09-03
- Practice location
- 7691 Elm StSuite 438Philadelphia, PA 19104
- Mailing address
- PO Box 4643Philadelphia, PA 19104
- Taxonomies
- Nurse Practitioner363L00000XPrimary
- Urgent Care Clinic261QU0200X
- Website
- Not listed
- Medicare
- Enrolled