Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Boston Medical Group Pennsylvania, PC

Organization Urology Physician · NPI 1528485828

Boston Medical Group Pennsylvania, PC is an Urology Physician in Philadelphia, Pennsylvania. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 S Broad St Ste 2136
Philadelphia, PA 19110
Phone: (215) 972-7090
Fax: (215) 972-7097
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X

Record details

NPI number1528485828
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marianne Labarbera — Medical Director · (718) 981-4070
NPI enumeratedMarch 25, 2014
Last updated in NPPESMarch 25, 2014
Mailing address100 S. Broad Street, Suite 2136, Philadelphia, PA 19110

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