Grant Willey Barton, MD | |
3400 Spruce St, Philadelphia, PA 19104-4238 | |
(215) 662-3797 | |
Not Available |
Full Name | Grant Willey Barton |
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Gender | Male |
Speciality | Hospitalist |
Location | 3400 Spruce St, 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 |
---|---|---|---|
1902199227 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD450329 (Pennsylvania) | Secondary |
208M00000X | Hospitalist | MD450329 (Pennsylvania) | Primary |
Entity Name | University Of Penn-medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053447151 PECOS PAC ID: 6204730955 Enrollment ID: O20150304001436 |
Mailing Address | Practice Location Address |
---|---|
Grant Willey Barton, MD 3400 Spruce St, Philadelphia, PA 19104-4206 Ph: (215) 662-3797 | Grant Willey Barton, MD 3400 Spruce St, Philadelphia, PA 19104-4238 Ph: (215) 662-3797 |
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