| Chester Family Practice | |
|
521 E 9th St Chester PA 19013-6136 | |
| (610) 872-0565 | |
| (610) 872-4478 |
| Full Name | Chester Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 521 E 9th St, Chester, Pennsylvania |
| Authorized Official Name and Position | Marylyn Ann Mudrick (OWNER) |
| Authorized Official Contact | 6108720565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chester Family Practice 521 E 9th St Chester PA 19013-6136 Ph: (610) 872-0565 | Chester Family Practice 521 E 9th St Chester PA 19013-6136 Ph: (610) 872-0565 |
| NPI Number | 1356454706 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 05/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356454706 | NPI | - | NPPES |
| 0554265001 | Medicaid | PA | |
| 5023294 | Other | PA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD029229E (Pennsylvania) | Primary |
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