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

Dedicated Pennsylvania Holding, LLC

Organization Internal Medicine Physician · NPI 1023655602

Dedicated Pennsylvania Holding, LLC is an Internal Medicine Physician in Philadelphia, Pennsylvania. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

330 W Oregon Ave # 170
Philadelphia, PA 19148-4723
Phone: (305) 628-6117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Non-Pharmacy Dispensing Site Taxonomy 332900000X

Record details

NPI number1023655602
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationDedicated Pennsylvania Holding, LLC
Authorized official Mary Chen — Authorized Official · (305) 831-4722
Other names Dedicated Senior Medical Center South Philadelphia; Dedicated Senior Medical Center South Philadelphia
NPI enumeratedDecember 3, 2019
Last updated in NPPESOctober 31, 2024
Certification dateOctober 31, 2024
Mailing address1395 Nw 167th St, Miami Gardens, FL 33169-5710

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