Provider Demographics
NPI:1932451382
Name:STAFFMORE
Entity type:Organization
Organization Name:STAFFMORE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BSC/MT
Authorized Official - Prefix:MR
Authorized Official - First Name:SAHIR
Authorized Official - Middle Name:
Authorized Official - Last Name:MUHAMMAD
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:267-688-6454
Mailing Address - Street 1:1230 SUMMER ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-1633
Mailing Address - Country:US
Mailing Address - Phone:215-772-0101
Mailing Address - Fax:
Practice Address - Street 1:1230 SUMMER ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-1633
Practice Address - Country:US
Practice Address - Phone:215-772-0101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-10
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA251S00000X302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization