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3200 Frankford Ave Philadelphia PA 19134-3217 | |
| (215) 425-5135 | |
| (215) 425-6947 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 3200 Frankford Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Nathaniel Abramson (PRESIDENT CORPORATION) |
| Authorized Official Contact | 2154255135 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
3200 Frankford Ave Philadelphia PA 19134-3217 Ph: (215) 425-5135 | 3200 Frankford Ave Philadelphia PA 19134-3217 Ph: (215) 425-5135 |
| NPI Number | 1922110592 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 09/13/2016 |
| Medicare PECOS PAC ID | 1355320607 |
|---|---|
| Medicare Enrollment ID | O20040719001348 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922110592 | NPI | - | NPPES |
| 0019158670002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Denise C Torelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760415053 PECOS PAC ID: 3870552623 Enrollment ID: I20041007000043 |
| Provider Name | Theresa M Pileggi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366713323 PECOS PAC ID: 5496062408 Enrollment ID: I20150923000851 |
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