Beaumont Retirement Services, Inc. | |
601 N Ithan Ave Bryn Mawr PA 19010-1782 | |
(610) 526-7000 | |
(610) 525-0293 |
Full Name | Beaumont Retirement Services, Inc. |
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Speciality | Clinic/Center |
Location | 601 N Ithan Ave, Bryn Mawr, Pennsylvania |
Authorized Official Name and Position | J. David Mustin (VICE PRESIDENT/FINANCE) |
Authorized Official Contact | 6105267000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Beaumont Retirement Services, Inc. 601 N Ithan Ave Bryn Mawr PA 19010-1782 Ph: (610) 526-7000 | Beaumont Retirement Services, Inc. 601 N Ithan Ave Bryn Mawr PA 19010-1782 Ph: (610) 526-7000 |
NPI Number | 1346498532 |
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Provider Enumeration Date | 09/03/2008 |
Last Update Date | 12/23/2008 |
Medicare PECOS PAC ID | 3678632940 |
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Medicare Enrollment ID | O20081223000024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346498532 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 849466 (Pennsylvania) | Primary |
Provider Name | Elizabeth N Bennett |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376778340 PECOS PAC ID: 0446393995 Enrollment ID: I20100205000038 |
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