| Cricket Medical Associates Ltd | |
|
39 E Chestnut Hill Ave Philadelphia PA 19118-2728 | |
| (215) 248-5600 | |
| (215) 242-0160 |
| Full Name | Cricket Medical Associates Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 39 E Chestnut Hill Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Gerald R Phelan (PRESIDENT) |
| Authorized Official Contact | 2152485600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cricket Medical Associates Ltd 39 E Chestnut Hill Ave Philadelphia PA 19118-2728 Ph: (215) 248-5600 | Cricket Medical Associates Ltd 39 E Chestnut Hill Ave Philadelphia PA 19118-2728 Ph: (215) 248-5600 |
| NPI Number | 1043511306 |
|---|---|
| Provider Enumeration Date | 11/03/2010 |
| Last Update Date | 02/18/2011 |
| Medicare PECOS PAC ID | 9335329853 |
|---|---|
| Medicare Enrollment ID | O20110215000745 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043511306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Gerald R Phelan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992744197 PECOS PAC ID: 4587844006 Enrollment ID: I20110215000801 |
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