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

Mt Airy Family Practice

Organization Family Medicine Physician · NPI 1831104405

Mt Airy Family Practice is a Family Medicine Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006

Practice location Address checks out

760 Carpenter Ln
Philadelphia, PA 19119-3406
Phone: (215) 848-6880
Fax: (215) 848-3333
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD041004E (PA)

Record details

NPI number1831104405
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Lyon — Managing Partner · (215) 848-6880
NPI enumeratedJuly 30, 2006
Last updated in NPPESAugust 22, 2020
Mailing address760 Carpenter Ln, Philadelphia, PA 19119-3406

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