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1400 Old York Road Suite A Abington PA 19001-2600 | |
(215) 576-1766 | |
(215) 576-1784 |
Full Name | |
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Speciality | Internal Medicine |
Location | 1400 Old York Road, Abington, Pennsylvania |
Authorized Official Name and Position | Michael B Walsh (SENIOR VP FINANCE) |
Authorized Official Contact | 2154812850 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 826594 Philadelphia PA 19182-6594 Ph: (215) 576-1766 | 1400 Old York Road Suite A Abington PA 19001-2600 Ph: (215) 576-1766 |
NPI Number | 1003860677 |
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Provider Enumeration Date | 05/19/2006 |
Last Update Date | 10/10/2022 |
Medicare PECOS PAC ID | 3274437736 |
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Medicare Enrollment ID | O20040114000055 |
Identifier | Type | State | Issuer |
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1003860677 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Sundee L Gable |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1750386272 PECOS PAC ID: 3476456062 Enrollment ID: I20040130000416 |
Provider Name | Susan Beth Packer |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1497719249 PECOS PAC ID: 6204867906 Enrollment ID: I20050823000298 |
Provider Name | Jeannine A Weimar Fitzpatrick |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538317292 PECOS PAC ID: 0244399558 Enrollment ID: I20081031000211 |
Provider Name | Miaoping Lou |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538672308 PECOS PAC ID: 4284998287 Enrollment ID: I20180427000200 |
Provider Name | Phillip Hinojosa |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700383056 PECOS PAC ID: 9234480195 Enrollment ID: I20230925003248 |
Amh Medical Staff Service Fund Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1200 Old York Rd, Abington, PA 19001 Phone: 215-481-2000 |