Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Parkwood Medical Practice PC

Organization Family Medicine Physician · NPI 1861516528

Parkwood Medical Practice PC provides Family Medicine Physician services in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.

Licensed in
PA
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12401 Academy Rd Ste 203
Philadelphia, PA 19154-1932 Not confirmed with CMS for 18 years — call before visiting
Phone: (215) 637-3100
Fax: (215) 637-7310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS007829L (PA)

Record details

NPI number1861516528
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hal Ganzman — Owner · (215) 637-3100
NPI enumeratedMarch 19, 2007
Last updated in NPPESDecember 4, 2007
Mailing address12401 Academy Rd, Suite 203, Philadelphia, PA 19154-1932

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