Provider Demographics
NPI:1548038805
Name:MEDICAL PROVIDERS PARTNERS PLLC
Entity type:Organization
Organization Name:MEDICAL PROVIDERS PARTNERS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:FRANKLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:UGBODE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-407-1646
Mailing Address - Street 1:25 N LANSDOWNE AVE
Mailing Address - Street 2:
Mailing Address - City:LANSDOWNE
Mailing Address - State:PA
Mailing Address - Zip Code:19050-2205
Mailing Address - Country:US
Mailing Address - Phone:631-268-5644
Mailing Address - Fax:302-397-8282
Practice Address - Street 1:25 N LANSDOWNE AVE
Practice Address - Street 2:
Practice Address - City:LANSDOWNE
Practice Address - State:PA
Practice Address - Zip Code:19050-2205
Practice Address - Country:US
Practice Address - Phone:631-268-5644
Practice Address - Fax:302-397-8282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-15
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty