Charles L Spencer
Geriatric Medicine
3615 Chestnut St Ralston Penn Center
Philadelphia
, Pennsylvania 19104
Charles L Spencer
Geriatric Medicine
3615 Chestnut St Ralston Penn Center
Philadelphia
, Pennsylvania 19104
(215) 349-5648
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About
Features
Specialties
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Charles L Spencer
- 3615 Chestnut St Ralston Penn Center
- Philadelphia, PA
- Zip : 19104
- Fax : (215) 349-5648
- Phone : (215) 662-2746
Second Address
- Charles L Spencer
- 3615 Chestnut St Ralston Penn Center
- Philadelphia, PA
- Zip : 19104
- Fax : (215) 349-5648
- Phone : (215) 662-2746
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0300X | Geriatric Medicine | MD055259L | PA |
National Provider Identifier
| NPI | 1144263450 |
|---|---|
| Provider Name | Charles L Spencer |
| First Address | Philadelphia, PA 19104 |
| Second Address | Philadelphia, PA 19104 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/06/2006 |
| Last Update Date | 23/05/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0015451020004 | (05) | PA |
| D41142 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.