OrganizationActive
Citylife-Pa, PC
NPI 1285010801 · General Practice Physician · Philadelphia, PA
Provider details
- NPI number
- 1285010801
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- William Rouse, Evp(615) 708-4487
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3945 Chestnut St
2nd Floor
Philadelphia, PA 19104-3621
Phone: (267) 819-1800
Approximate (ZIP-level) locationGet directions
Mailing address
2020 21st Ave S
Nashville, TN 37212-4354
Registry dates
- Enumerated
- 2015-08-05
- Last updated
- 2015-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.