| Endocrine Specialists | |
|
2300 Computer Rd Suite H39 Willow Grove PA 19090-1752 | |
| (215) 657-5200 | |
| (215) 657-8083 |
| Full Name | Endocrine Specialists |
|---|---|
| Speciality | Internal Medicine |
| Location | 2300 Computer Rd, Willow Grove, Pennsylvania |
| Authorized Official Name and Position | Michael B Walsh (SENIOR VP FINANCE, CFO) |
| Authorized Official Contact | 2154812850 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Endocrine Specialists Po Box 826594 Philadelphia PA 19182-6594 Ph: (215) 657-5200 | Endocrine Specialists 2300 Computer Rd Suite H39 Willow Grove PA 19090-1752 Ph: (215) 657-5200 |
| NPI Number | 1366993768 |
|---|---|
| Provider Enumeration Date | 10/20/2016 |
| Last Update Date | 10/12/2022 |
| Medicare PECOS PAC ID | 3274437736 |
|---|---|
| Medicare Enrollment ID | O20170110002957 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366993768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Glenn A Mcgrath |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1598766982 PECOS PAC ID: 8527969690 Enrollment ID: I20040120000964 |
| Provider Name | Cecelia E Passanza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821099383 PECOS PAC ID: 6103810700 Enrollment ID: I20040414000957 |
| Provider Name | Daniel Evan Rosenberg |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1790786192 PECOS PAC ID: 9739134057 Enrollment ID: I20050318000592 |
| Provider Name | Joanna Tolin |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1366768996 PECOS PAC ID: 8921249574 Enrollment ID: I20130725000063 |
| Provider Name | Brian W Beluch |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1811142508 PECOS PAC ID: 1052589207 Enrollment ID: I20171012000134 |
| Provider Name | Kimberly K Lessard |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1073920930 PECOS PAC ID: 8022384684 Enrollment ID: I20171026000347 |
| Provider Name | Jonathan D Slusser |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1750644704 PECOS PAC ID: 9830498385 Enrollment ID: I20180326001075 |
| Provider Name | Luis E Arzeno Tejada |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1114311347 PECOS PAC ID: 0547516122 Enrollment ID: I20190307002300 |
| Provider Name | Deepika Nandiraju |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1194136077 PECOS PAC ID: 0446477731 Enrollment ID: I20190927002993 |
| Provider Name | Peter M Ucciferro |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1033572318 PECOS PAC ID: 3375967821 Enrollment ID: I20200716004054 |
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