| |
605 S Queen Anne Dr Fairless Hills PA 19030-3811 | |
(215) 949-2550 | |
(215) 949-1012 |
Full Name | |
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Speciality | Internal Medicine |
Location | 605 S Queen Anne Dr, Fairless Hills, Pennsylvania |
Authorized Official Name and Position | Ronald Kumor (SENIOR VICE PRESIDENT) |
Authorized Official Contact | 2156124858 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 825395 Philadelphia PA 19182-5395 Ph: (215) 949-2550 | 605 S Queen Anne Dr Fairless Hills PA 19030-3811 Ph: (215) 949-2550 |
NPI Number | 1760868582 |
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Provider Enumeration Date | 08/04/2015 |
Last Update Date | 10/12/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760868582 | NPI | - | NPPES |
1007526250039 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Pennsylvania) | Secondary |
207R00000X | Internal Medicine | (Pennsylvania) | Primary |
208D00000X | General Practice | (Pennsylvania) | Secondary |
V. Goswami, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 N Oxford Valley Rd, #104, Fairless Hills, PA 19030 Phone: 215-949-1103 Fax: 215-364-1708 | |
Doctors Convenient Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 605 S Queen Anne Dr, Fairless Hills, PA 19030 Phone: 215-949-2550 Fax: 215-949-1012 | |
John E Moskaitis Md, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 333 N Oxford Valley Rd, Suite 107, Fairless Hills, PA 19030 Phone: 215-949-0100 Fax: 215-949-1600 | |