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

Parkwood Medical Practice PC

Organization Family Medicine Physician · NPI 1861516528

Parkwood Medical Practice PC is a Family Medicine Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.

Licensed in
PA
In the registry since
2007
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

12401 Academy Rd Ste 203
Philadelphia, PA 19154-1932
Phone: (215) 637-3100
Fax: (215) 637-7310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS007829L (PA)

Record details

NPI number1861516528
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hal Ganzman — Owner · (215) 637-3100
NPI enumeratedMarch 19, 2007
Last updated in NPPESDecember 4, 2007
Mailing address12401 Academy Rd, Suite 203, Philadelphia, PA 19154-1932

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