Jude Opoku-agyeman, DO | |
19 Montgomery Ave, Bala Cynwyd, PA 19004-2672 | |
(610) 667-1888 | |
Not Available |
Full Name | Jude Opoku-agyeman |
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Gender | Male |
Speciality | Plastic Surgery |
Location | 19 Montgomery Ave, Bala Cynwyd, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619225091 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | OS019567 (Pennsylvania) | Primary |
Entity Name | Stc Pediatrics Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144864547 PECOS PAC ID: 7315372323 Enrollment ID: O20200122001254 |
Mailing Address | Practice Location Address |
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Jude Opoku-agyeman, DO 19 Montgomery Ave, Bala Cynwyd, PA 19004-2672 Ph: (610) 667-1888 | Jude Opoku-agyeman, DO 19 Montgomery Ave, Bala Cynwyd, PA 19004-2672 Ph: (610) 667-1888 |
Craig Mezrow, MS, MD, FACS Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 225 E. City Avenue, Suite 14, Bala Cynwyd, PA 19004 Phone: 610-664-8888 | |
Dr. Zaki S Ftaiha, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 15 Presidential Blvd, Suite 200, Bala Cynwyd, PA 19004 Phone: 610-664-5500 Fax: 610-664-7548 | |
Mark P Solomon, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 191 Presidential Boulevard, Suite Ln24, Bala Cynwyd, PA 19004 Phone: 610-667-7070 Fax: 610-664-6664 | |
Dr. Sherman Nelson Leis, DO Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 19 Montgomery Ave, Bala Cynwyd, PA 19004 Phone: 610-667-1888 Fax: 610-664-3182 | |
Dr. Emily Frances Pollard, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 555 E City Ave, Suite 1170, Bala Cynwyd, PA 19004 Phone: 610-667-0100 Fax: 610-667-5171 |