Andrea Dimond, MD | |
3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | |
(215) 590-1000 | |
Not Available |
Full Name | Andrea Dimond |
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Gender | Female |
Speciality | Pediatrics |
Location | 3401 Civic Center Blvd, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942367289 | NPI | - | NPPES |
MD480209 | Other | PA | PENNSYLVANIA STATE BOARD OF MEDICINE |
0101250736 | Other | VA | COMMONWEALTH OF VIRGINIA BOARD OF MEDICINE |
1354635 | Medicaid | LA | |
239154 | Other | MA | MASSACHUSETTS BOARD OF REGISTRATION IN MEDICINE |
MD480209 | Other | PA | PENNSYLVANIA BOARD OF MEDICINE |
A93959 | Other | CA | PROVIDER LISCENSE |
MD.202481 | Other | LA | LOUISIANA STATE MEDICAL BOARD PHYSICIAN LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD480209 (Pennsylvania) | Primary |
Entity Name | Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308 |
Mailing Address | Practice Location Address |
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Andrea Dimond, MD 3401 Civic Center Blvd Ste M975, Philadelphia, PA 19104-4319 Ph: () - | Andrea Dimond, MD 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 Ph: (215) 590-1000 |
Aaron Dorfman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3401 Civic Center Blvd, Children's Hospital Of Philadelphia - Cardiology, Philadelphia, PA 19104 Phone: 215-590-4040 Fax: 267-425-9800 | |
Brian Lestini, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 34th & Civic Center Blvd, Children's Hospital Of Philadelphia, Philadelphia, PA 19104 Phone: 215-590-1000 Fax: 215-590-2204 | |
Elizabeth Foglia, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3400 Spruce St, 8 Ravdin, Philadelphia, PA 19104 Phone: 215-662-3228 Fax: 215-349-8831 | |
Dr. Katharine Taylor Levinson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 34th St And Civic Ctr Blvd, Philadelphia, PA 19104 Phone: 215-590-1000 Fax: 215-481-8795 | |
Ms. Amman Hassan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5501 Old York Rd, Philadelphia, PA 19141 Phone: 215-456-3810 | |
Geoffrey Libarnes Bajwa, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 160 E Erie Ave, Philadelphia, PA 19134 Phone: 215-427-5000 | |
Helen Marie Stanley, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3401 Civic Center Blvd Rm 55, Philadelphia, PA 19104 Phone: 215-590-1220 |