Cleofe P Evangelista Md Pc | |
301 Oxford Valley Rd Suite 403a Yardley PA 19067-7706 | |
(215) 321-0580 | |
(215) 321-9098 |
Full Name | Cleofe P Evangelista Md Pc |
---|---|
Speciality | Internal Medicine |
Location | 301 Oxford Valley Rd, Yardley, Pennsylvania |
Authorized Official Name and Position | Cleofe P Evangelista (PHYSICIAN) |
Authorized Official Contact | 2153210580 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Cleofe P Evangelista Md Pc 301 Oxford Valley Rd Suite 403a Yardley PA 19067-7706 Ph: (215) 321-0580 | Cleofe P Evangelista Md Pc 301 Oxford Valley Rd Suite 403a Yardley PA 19067-7706 Ph: (215) 321-0580 |
NPI Number | 1568656155 |
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Provider Enumeration Date | 08/28/2007 |
Last Update Date | 04/20/2010 |
Medicare PECOS PAC ID | 6800923699 |
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Medicare Enrollment ID | O20100428000074 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568656155 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0505X | Family Medicine - Adult Medicine | MD030470E (Pennsylvania) | Secondary |
207R00000X | Internal Medicine | MD034070E (Pennsylvania) | Primary |
Provider Name | Cleofe P Evangelista |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1588690929 PECOS PAC ID: 1153458955 Enrollment ID: I20100428000121 |
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