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MEDICAL CENTER OF BUSTLETON PC
NPI 1861576753
Internal Medicine in Philadelphia, PA

Active since October 25, 2006
9622 BUSTLETON AVENUE, SUITE 6, PHILADELPHIA, PA 19115(215) 673-7067(215) 673-4966 Get Directions Write a Review

NPPES record last updated: June 29, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Medical Center Of Bustleton Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDICAL CENTER OF BUSTLETON PC (NPI 1861576753) is a healthcare organization registered as an internal medicine in Philadelphia, Pennsylvania and active in the NPI registry since October 2006. The organization lists Donna Marie Gavarone, President Owner, as its authorized official.

NPPES Registry Identity

NPI1861576753
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMEDICAL CENTER OF BUSTLETON PC
Location Address9622 BUSTLETON AVENUE, SUITE 6Philadelphia, PA 19115-3100
Mailing Address9622 Bustleton Avenue, Suite 6Philadelphia, PA 19115-3100 · (215) 673-7067 · Fax (215) 673-4966
Phone(215) 673-7067
Fax(215) 673-4966
Organization SubpartNo
Authorized OfficialDonna Marie GavaronePresident Owner · (215) 673-7067
Enumeration DateOctober 25, 2006
Last NPPES UpdateJune 29, 2010
✔ NPI 1861576753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
9622 BUSTLETON AVENUE, Philadelphia, PA 19115
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Other Identifiers 1

Medicaid0015772220005PA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BUCKS PHILADELPHIA MEDICAL CARE GRP
Internal Medicine
9622 BUSTLETON AVENUE, SUITE 2
PHILADELPHIA, PA 19115
Philadelphia County (215) 947-6143
DONNA MARIE GAVARONE DO
Internal Medicine
9622 BUSTLETON AVENUE, SUITE 6
PHILADELPHIA, PA 19115
Philadelphia County (215) 673-7067

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medical Center Of Bustleton PC's NPI number?

The NPI number for Medical Center Of Bustleton PC is 1861576753. It was assigned to this organization in the NPPES registry on October 25, 2006.

Where is Medical Center Of Bustleton PC located?

Medical Center Of Bustleton PC is located at 9622 Bustleton Avenue Suite 6, Philadelphia, PA 19115. The listed phone number is (215) 673-7067.

What is Medical Center Of Bustleton PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Medical Center Of Bustleton PC was last updated on June 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.