| Erfprad Ii, Llc | |
|
525 Jamestown St Ste 107 Philadelphia PA 19128-1751 | |
| (215) 205-2260 | |
| (877) 203-4832 |
| Full Name | Erfprad Ii, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 525 Jamestown St Ste 107, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Warren Mark Cohen (OWNER) |
| Authorized Official Contact | 2152052260 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Erfprad Ii, Llc 525 Jamestown St Ste 107 Philadelphia PA 19128-1751 Ph: (215) 205-2260 | Erfprad Ii, Llc 525 Jamestown St Ste 107 Philadelphia PA 19128-1751 Ph: (215) 205-2260 |
| NPI Number | 1225430572 |
|---|---|
| Provider Enumeration Date | 09/18/2014 |
| Last Update Date | 09/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225430572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | O8003968L (Pennsylvania) | Primary |
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