| Ches Mont Medical Group Pc | |
|
1030 Main St Linfield PA 19468-1107 | |
| (610) 495-8300 | |
| (610) 495-1017 |
| Full Name | Ches Mont Medical Group Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1030 Main St, Linfield, Pennsylvania |
| Authorized Official Name and Position | John B Bruder (PRESIDENT) |
| Authorized Official Contact | 6104958300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ches Mont Medical Group Pc 1030 Main St Linfield PA 19468-1107 Ph: (610) 495-8300 | Ches Mont Medical Group Pc 1030 Main St Linfield PA 19468-1107 Ph: (610) 495-8300 |
| NPI Number | 1922194919 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 05/02/2011 |
| Medicare PECOS PAC ID | 8628016433 |
|---|---|
| Medicare Enrollment ID | O20050421001279 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922194919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Pennsylvania) | Primary |
| Provider Name | John B Bruder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841267077 PECOS PAC ID: 1951579010 Enrollment ID: I20110718000204 |
| Provider Name | Danielle C Bruder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669449880 PECOS PAC ID: 6901077692 Enrollment ID: I20120308000637 |