Vine Street Medical and Associates
Vine Street Medical and Associates is an Addiction Medicine (Family Medicine) Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2017.
- Licensed in
- PA
- In the registry since
- 2017
Practice location Address checks out
6323 Vine StPhiladelphia, PA 19139-1032
Phone: (267) 292-5638
Fax: (267) 292-5648
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction Medicine (Family Medicine) Physician (primary) | Taxonomy 207QA0401X · Licence MD032595E (PA) |
|---|
Record details
| NPI number | 1861921389 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shari Johnson — Admin · (267) 292-5638 |
| NPI enumerated | June 8, 2017 |
| Last updated in NPPES | September 11, 2025 |
| Mailing address | 6323 Vine St, Philadelphia, PA 19139-1032 |
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