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

Penn's Rock Primary Care

Organization Family Medicine Physician · NPI 1255859112

Penn's Rock Primary Care is a Family Medicine Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2017.

Licensed in
PA
In the registry since
2017
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Practice location Address checks out

801 Washington Ave Unit C
Philadelphia, PA 19147-4716
Phone: (267) 519-9359
Fax: (267) 519-8120
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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 OS010207L (PA)

Record details

NPI number1255859112
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Monika Vansant — Physician · (267) 519-9353
Other names Penn'S Rock Primary Care
NPI enumeratedAugust 31, 2017
Last updated in NPPESFebruary 1, 2019
Mailing addressPo Box 251, Southampton, PA 18966-0251

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