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9896 Bustelton Avenue Paul's Run Retirement Community Philadelphia PA 19115-5202 | |
| (215) 934-3000 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 9896 Bustelton Avenue, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Barbara A Culver (AUTHORIZED OFFICAL) |
| Authorized Official Contact | 6099342597 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
2929 Arch St Ste 1700 Philadelphia PA 19104-7327 Ph: (609) 934-2597 | 9896 Bustelton Avenue Paul's Run Retirement Community Philadelphia PA 19115-5202 Ph: (215) 934-3000 |
| NPI Number | 1861226920 |
|---|---|
| Provider Enumeration Date | 08/29/2024 |
| Last Update Date | 10/15/2024 |
| Medicare PECOS PAC ID | 5698209971 |
|---|---|
| Medicare Enrollment ID | O20241108001656 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861226920 | NPI | - | NPPES |
| Provider Name | Barbara A Culver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164788964 PECOS PAC ID: 2365784675 Enrollment ID: I20241111002482 |
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