| Dr. Leonard M Popowich P.c | |
|
2403 E York St Philadelphia PA 19125-3005 | |
| (215) 427-2552 | |
| (214) 426-3851 |
| Full Name | Dr. Leonard M Popowich P.c |
|---|---|
| Speciality | Family Medicine |
| Location | 2403 E York St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Leonard M Popowich (PRESIDENT) |
| Authorized Official Contact | 2154272552 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Leonard M Popowich P.c 2403 E York St Philadelphia PA 19125-3005 Ph: (215) 427-2552 | Dr. Leonard M Popowich P.c 2403 E York St Philadelphia PA 19125-3005 Ph: (215) 427-2552 |
| NPI Number | 1770763989 |
|---|---|
| Provider Enumeration Date | 11/06/2007 |
| Last Update Date | 08/21/2008 |
| Medicare PECOS PAC ID | 2668549262 |
|---|---|
| Medicare Enrollment ID | O20080924000121 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770763989 | NPI | - | NPPES |
| 067587301 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0S001025L (Pennsylvania) | Primary |
| Provider Name | Leonard M Popowich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497824775 PECOS PAC ID: 2860569464 Enrollment ID: I20080924000104 |
| Provider Name | Deborah Popowich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629147913 PECOS PAC ID: 9830266436 Enrollment ID: I20081003000573 |
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