| Quantum Health Practice, Llc | |
|
505 York Rd Suite 7a Jenkintown PA 19046-2136 | |
| (267) 626-2334 | |
| Not Available |
| Full Name | Quantum Health Practice, Llc |
|---|---|
| Speciality | Pain Medicine |
| Location | 505 York Rd, Jenkintown, Pennsylvania |
| Authorized Official Name and Position | Christine Campling (CREDENTIALING) |
| Authorized Official Contact | 6109311217 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quantum Health Practice, Llc 505 York Rd Suite 7a Jenkintown PA 19046-2136 Ph: (267) 626-2334 | Quantum Health Practice, Llc 505 York Rd Suite 7a Jenkintown PA 19046-2136 Ph: (267) 626-2334 |
| NPI Number | 1497299085 |
|---|---|
| Provider Enumeration Date | 12/15/2016 |
| Last Update Date | 01/11/2017 |
| Medicare PECOS PAC ID | 2668741067 |
|---|---|
| Medicare Enrollment ID | O20170628001059 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497299085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | (* (Not Available)) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | (* (Not Available)) | Primary |
| Provider Name | Carol Ludolph |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1972728145 PECOS PAC ID: 0042352528 Enrollment ID: I20100121000461 |
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