| Harry Debutts Do, Llc | |
|
505 Kelleher Dr Landenberg PA 19350-1365 | |
| (484) 944-1551 | |
| (484) 944-1527 |
| Full Name | Harry Debutts Do, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 505 Kelleher Dr, Landenberg, Pennsylvania |
| Authorized Official Name and Position | Harry Ashby Debutts (OWNER) |
| Authorized Official Contact | 6106629665 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harry Debutts Do, Llc 401 Horsham Rd Suite 100 Horsham PA 19044-2013 Ph: (484) 944-1551 | Harry Debutts Do, Llc 505 Kelleher Dr Landenberg PA 19350-1365 Ph: (484) 944-1551 |
| NPI Number | 1245568666 |
|---|---|
| Provider Enumeration Date | 11/23/2009 |
| Last Update Date | 04/25/2022 |
| Medicare PECOS PAC ID | 8022158724 |
|---|---|
| Medicare Enrollment ID | O20091210000275 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245568666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Erik I Soiferman |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1124091012 PECOS PAC ID: 3072587302 Enrollment ID: I20050317000548 |
| Provider Name | Harry A Debutts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225267891 PECOS PAC ID: 2668626151 Enrollment ID: I20130211000064 |
| Provider Name | Catherine M Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972919124 PECOS PAC ID: 4385863570 Enrollment ID: I20140922000678 |
| Provider Name | Jaymee E Weitzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609399203 PECOS PAC ID: 2264707694 Enrollment ID: I20171010002944 |