| Alla Shpaner Md,pc | |
|
2375 Woodward St Philadelphia PA 19115-5120 | |
| (215) 676-4948 | |
| (215) 676-8858 |
| Full Name | Alla Shpaner Md,pc |
|---|---|
| Speciality | Clinic/center |
| Location | 2375 Woodward St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Alla Shpaner (PRESIDENT) |
| Authorized Official Contact | 2156764948 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alla Shpaner Md,pc 2375 Woodward St Philadelphia PA 19115-5120 Ph: (215) 676-4948 | Alla Shpaner Md,pc 2375 Woodward St Philadelphia PA 19115-5120 Ph: (215) 676-4948 |
| NPI Number | 1740450188 |
|---|---|
| Provider Enumeration Date | 02/29/2008 |
| Last Update Date | 02/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740450188 | NPI | - | NPPES |
| 001740475002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | MD067856L (Pennsylvania) | Primary |
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