Philip Siu, MD | |
1098 W Baltimore Pike Ste 3403, Media, PA 19063-5139 | |
(610) 627-4490 | |
(610) 627-4477 |
Full Name | Philip Siu |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1098 W Baltimore Pike Ste 3403, Media, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861432882 | NPI | - | NPPES |
001137860 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD038922 (Pennsylvania) | Primary |
Entity Name | Esperanza Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255726659 PECOS PAC ID: 6103815071 Enrollment ID: O20040507000367 |
Mailing Address | Practice Location Address |
---|---|
Philip Siu, MD 1401 S 31st St, 2nd Floor, Philadelphia, PA 19146-3506 Ph: (215) 925-2400 | Philip Siu, MD 1098 W Baltimore Pike Ste 3403, Media, PA 19063-5139 Ph: (610) 627-4490 |
Ms. Jacquelyn H Gibbons, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 Granite Dr, Suite 200, Media, PA 19063 Phone: 610-565-1945 Fax: 610-892-7848 | |
Dr. Michael B Torrence, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1223 N Providence Rd, Suite 301, Media, PA 19063 Phone: 610-565-9435 Fax: 610-892-0823 | |
Regina M Vince, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1098 W Baltimore Pike, Suite 3403 Riddle Health Center 3, Media, PA 19063 Phone: 610-627-4490 Fax: 610-627-4477 | |
Megan Elizabeth Speare, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1098 W Baltimore Pike, Suite 3403 Riddle Health Center 3, Media, PA 19063 Phone: 610-627-4490 Fax: 610-627-4477 | |
Vara Rao, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1098 W Baltimore Pike, Suite 3403, Media, PA 19063 Phone: 610-627-4490 Fax: 610-627-4477 | |
Russel C Applegate, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1098 W Baltimore Pike, Suite 3403 Riddle Hlth Ctr 3, Media, PA 19063 Phone: 610-627-4490 Fax: 610-627-4477 | |
Dr. Alison Gaudet, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 Granite Dr, Suite 200, Media, PA 19063 Phone: 610-565-1945 Fax: 610-892-7848 |