OrganizationActive
Advanced Family Medicine PC
NPI 1790979870 · Primary Care Clinic/Center · Philadelphia, PA
Provider details
- NPI number
- 1790979870
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Alexander Tarnopolsky, Physician(267) 242-7993
- License
- OS010564L (PA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
14200 Bustleton Ave
Suite 4
Philadelphia, PA 19116-1186
Phone: (215) 671-0900
Fax: (215) 671-8114
Approximate (ZIP-level) locationGet directions
Mailing address
14200 Bustleton Ave
Philadelphia, PA 19116-1186
Registry dates
- Enumerated
- 2007-08-31
- Last updated
- 2025-06-06
- Certified
- 2025-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.