| Dr Samuel Lizerbram & Dr Neil M Cohen Pc | |
|
12000 Bustleton Ave Suite 102 Philadelphia PA 19116-2151 | |
| (215) 673-7600 | |
| (215) 673-1894 |
| Full Name | Dr Samuel Lizerbram & Dr Neil M Cohen Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 12000 Bustleton Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Samuel Lizerbram (PRESIDENT) |
| Authorized Official Contact | 2156737600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Samuel Lizerbram & Dr Neil M Cohen Pc 12000 Bustleton Ave Suite 102 Philadelphia PA 19116-2151 Ph: (215) 673-7600 | Dr Samuel Lizerbram & Dr Neil M Cohen Pc 12000 Bustleton Ave Suite 102 Philadelphia PA 19116-2151 Ph: (215) 673-7600 |
| NPI Number | 1437190238 |
|---|---|
| Provider Enumeration Date | 06/10/2006 |
| Last Update Date | 08/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437190238 | NPI | - | NPPES |
| 00006962380001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS002814L (Pennsylvania) | Primary |
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