Dr David A Broyles, DO | |
100 Maris Grove Way, Glen Mills, PA 19342-1282 | |
(610) 387-4520 | |
(610) 387-4526 |
Full Name | Dr David A Broyles |
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Gender | Male |
Speciality | Family Medicine |
Location | 100 Maris Grove Way, Glen Mills, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659424240 | NPI | - | NPPES |
001890730 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS009850L (Pennsylvania) | Primary |
Entity Name | Prospect Health Access Network Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568819084 PECOS PAC ID: 5698065142 Enrollment ID: O20160613000737 |
Mailing Address | Practice Location Address |
---|---|
Dr David A Broyles, DO 5730 Executive Dr Ste 230, Catonsville, MD 21228-1762 Ph: (610) 387-4520 | Dr David A Broyles, DO 100 Maris Grove Way, Glen Mills, PA 19342-1282 Ph: (610) 387-4520 |
Nicholas A Giuliani, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 Baltimore Pike, Suite 100, Glen Mills, PA 19342 Phone: 484-227-7790 Fax: 484-227-7791 | |
John Richard Luksch, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Evergreen Dr Ste 201, Glen Mills, PA 19342 Phone: 267-339-3558 Fax: 267-339-3763 | |
Dr. Michael Benjamin Kuczmarski, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 100 Maris Grove Way, Glen Mills, PA 19342 Phone: 610-387-4520 Fax: 610-387-4526 | |
Dr. Christie O Mousaw, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Evergreen Dr, Suite 310, Glen Mills, PA 19342 Phone: 610-579-3564 Fax: 610-579-3566 | |
Dr. Robert P. Denitzio, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1020 Baltimore Pike Ste 100, Glen Mills, PA 19342 Phone: 484-227-7858 | |
Dr. Michael A Krafchick, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Evergreen Dr, Suite 1500, Glen Mills, PA 19342 Phone: 610-579-3444 Fax: 610-579-3449 | |
Dr. Joshua B Feinberg, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Evergreen Dr, Glen Mills, PA 19342 Phone: 610-579-3480 Fax: 610-579-3485 |