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

Spruce Medical Center

Organization Family Medicine Physician · NPI 1912044306

Spruce Medical Center 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

Practice location Address checks out

5046 Spruce St
Philadelphia, PA 19139-4115
Phone: (215) 471-2780
Fax: (215) 471-5201
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 OS00215OL (PA)

Record details

NPI number1912044306
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leonard Johnson — Medical Director · (215) 471-2780
NPI enumeratedFebruary 1, 2007
Last updated in NPPESAugust 22, 2020
Mailing address5046 Spruce St, Philadelphia, PA 19139-4115

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