| David Kalkstein Md Pc | |
|
555 E City Ave Ste 210 Bala Cynwyd PA 19004-1115 | |
| (610) 660-8338 | |
| (610) 660-8339 |
| Full Name | David Kalkstein Md Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 555 E City Ave, Bala Cynwyd, Pennsylvania |
| Authorized Official Name and Position | David Kalkstein (PRESIDENT) |
| Authorized Official Contact | 3024787981 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David Kalkstein Md Pc 555 E City Ave Ste 210 Bala Cynwyd PA 19004-1115 Ph: (610) 660-8338 | David Kalkstein Md Pc 555 E City Ave Ste 210 Bala Cynwyd PA 19004-1115 Ph: (610) 660-8338 |
| NPI Number | 1861721854 |
|---|---|
| Provider Enumeration Date | 12/22/2009 |
| Last Update Date | 12/22/2009 |
| Medicare PECOS PAC ID | 8325188634 |
|---|---|
| Medicare Enrollment ID | O20100114000446 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861721854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | MD023723E (Pennsylvania) | Primary |
| Provider Name | David Kalkstein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215923255 PECOS PAC ID: 6305851395 Enrollment ID: I20100114000433 |
| Provider Name | Jaimie Stafford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952679540 PECOS PAC ID: 1759544463 Enrollment ID: I20130720000037 |
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