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

Penn Integrative Medical and Dental Center, Inc

Organization Nutritionist · NPI 1952640187

Penn Integrative Medical and Dental Center, Inc is a Nutritionist in Philadelphia, Pennsylvania. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7130 Rising Sun Ave
Philadelphia, PA 19111-3957
Phone: (215) 821-2305
Fax: (215) 220-2600
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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
Nutritionist Taxonomy 133N00000X
Acupuncturist Taxonomy 171100000X

Record details

NPI number1952640187
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Julian Sanon — President / Owner · (215) 821-2305
NPI enumeratedFebruary 7, 2013
Last updated in NPPESMay 3, 2013
Mailing address7130 Rising Sun Ave, Philadelphia, PA 19111-3957

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