Dr V Blake Marshall Jr, DO | |
2230 Cottman Ave, Phila, PA 19149-1230 | |
(215) 685-0603 | |
(215) 725-4877 |
Full Name | Dr V Blake Marshall Jr |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 2230 Cottman Ave, Phila, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952341992 | NPI | - | NPPES |
001133997 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | OS005994 (Pennsylvania) | Primary |
Entity Name | City Of Philadelphia |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942317094 PECOS PAC ID: 6305758723 Enrollment ID: O20040220000911 |
Mailing Address | Practice Location Address |
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Dr V Blake Marshall Jr, DO 2410 Delancey St, Phila, PA 19103-6409 Ph: (215) 732-7178 | Dr V Blake Marshall Jr, DO 2230 Cottman Ave, Phila, PA 19149-1230 Ph: (215) 685-0603 |
Dr. Robert Shore, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 7602 Central Ave, Stapeley Bldg Suite 101, Phila, PA 19111 Phone: 215-969-2900 Fax: 215-969-1856 | |
Christopher James Adkins, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 132 S. 10th Street, 480 Main Building, Phila, PA 19107 Phone: 215-955-8900 Fax: 215-955-5245 | |
Dr. Thomas J Scheuerman, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 1411 Wolf St, Phila, PA 19145 Phone: 215-334-8780 Fax: 215-334-1086 | |
Ruchika Patel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5501 Old York Rd, Korman Bldg Suite 103, Phila, PA 19141 Phone: 215-456-7380 Fax: 215-456-3898 | |
Dr. Efua Asamoah-odei, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 227 N Broad St Ste 301, Phila, PA 19107 Phone: 215-762-7785 Fax: 215-568-6007 | |
Ivan Rudolph, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 132 S 10th St, 480 Main Building, Phila, PA 19107 Phone: 215-955-8900 Fax: 215-955-5245 | |
Dr. Remigio Victor Boccio, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3900 Woodland Ave, Gen Med-111, Phila, PA 19104 Phone: 215-823-4133 |