| Elliott Internal Medicine, P.c. | |
|
2300 Computer Rd Suite M70 Willow Grove PA 19090-1752 | |
| (215) 659-3770 | |
| Not Available |
| Full Name | Elliott Internal Medicine, P.c. |
|---|---|
| Speciality | General Practice |
| Location | 2300 Computer Rd, Willow Grove, Pennsylvania |
| Authorized Official Name and Position | Avidon Appel (PRESIDENT OWNER) |
| Authorized Official Contact | 2156593770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elliott Internal Medicine, P.c. 2300 Computer Rd Suite M70 Willow Grove PA 19090-1752 Ph: (215) 659-3770 | Elliott Internal Medicine, P.c. 2300 Computer Rd Suite M70 Willow Grove PA 19090-1752 Ph: (215) 659-3770 |
| NPI Number | 1811108319 |
|---|---|
| Provider Enumeration Date | 05/25/2007 |
| Last Update Date | 02/12/2008 |
| Medicare PECOS PAC ID | 6608821160 |
|---|---|
| Medicare Enrollment ID | O20050317000222 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811108319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | MD063839L (Pennsylvania) | Primary |
| Provider Name | Avidon Appel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770650723 PECOS PAC ID: 0547353781 Enrollment ID: I20070905000233 |
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