| Mercy Primary Care At Holme Avenue | |
|
2630 Holme Ave Ste 101 Philadelphia PA 19152 | |
| (215) 624-6007 | |
| (215) 624-6465 |
| Full Name | Mercy Primary Care At Holme Avenue |
|---|---|
| Speciality | Family Medicine |
| Location | 2630 Holme Ave Ste 101, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Amit Powar (PRESIDENT, MEDICAL GROUP) |
| Authorized Official Contact | 2157106573 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Primary Care At Holme Avenue 41 University Dr Ste 106 Newtown PA 18940-1873 Ph: () - | Mercy Primary Care At Holme Avenue 2630 Holme Ave Ste 101 Philadelphia PA 19152 Ph: (215) 624-6007 |
| NPI Number | 1215452982 |
|---|---|
| Provider Enumeration Date | 08/03/2017 |
| Last Update Date | 05/02/2023 |
| Certification Date | 05/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215452982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Pennsylvania) | Secondary |
| 207Q00000X | Family Medicine | (Pennsylvania) | Primary |
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