Fair Hill Community Physicians | |
133 W Hunting Park Ave Philadelphia PA 19140-2717 | |
(215) 324-0600 | |
(215) 324-2795 |
Full Name | Fair Hill Community Physicians |
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Speciality | Family Medicine |
Location | 133 W Hunting Park Ave, Philadelphia, Pennsylvania |
Authorized Official Name and Position | Bridget Ferrarie (SR. MANAGER PAYER CREDENTIALING) |
Authorized Official Contact | 2157072433 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Fair Hill Community Physicians 3500 N Broad St Philadelphia PA 19140-4106 Ph: (215) 324-0600 | Fair Hill Community Physicians 133 W Hunting Park Ave Philadelphia PA 19140-2717 Ph: (215) 324-0600 |
NPI Number | 1457049439 |
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Provider Enumeration Date | 04/27/2023 |
Last Update Date | 12/19/2023 |
Medicare PECOS PAC ID | 1850746215 |
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Medicare Enrollment ID | O20231005000618 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457049439 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
208000000X | Pediatrics | (* (Not Available)) | Secondary |
Provider Name | Nimidia Oviedo |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1770592438 PECOS PAC ID: 3072529197 Enrollment ID: I20060228000110 |
Provider Name | Delana Wardlaw |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1851489405 PECOS PAC ID: 8628246667 Enrollment ID: I20110719000521 |
Provider Name | Maribel Toro-troche |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1346226974 PECOS PAC ID: 7214107663 Enrollment ID: I20110823000515 |
Provider Name | Ramcel Munoz Quien |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932153467 PECOS PAC ID: 7517137789 Enrollment ID: I20110825000190 |
Provider Name | Anthony Luistro |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396922076 PECOS PAC ID: 4981854023 Enrollment ID: I20121025000324 |
Provider Name | Elizabeth Carazo |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1629293220 PECOS PAC ID: 2961653258 Enrollment ID: I20121114000426 |
Provider Name | Gabriel Sanchez-aldana |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013025865 PECOS PAC ID: 1052471224 Enrollment ID: I20210722001765 |
Provider Name | Kimberley Monique Watson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780178673 PECOS PAC ID: 7517361199 Enrollment ID: I20210804000217 |
Provider Name | Rene Kessler |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356909329 PECOS PAC ID: 8224365630 Enrollment ID: I20220621001099 |
Provider Name | Alanna Marie Ticali |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326625161 PECOS PAC ID: 4284034760 Enrollment ID: I20240621000328 |
Provider Name | Sophia Desrosiers |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104403062 PECOS PAC ID: 1658773254 Enrollment ID: I20240626002093 |
Provider Name | David Gonzalez |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1164059697 PECOS PAC ID: 9638581846 Enrollment ID: I20240807003710 |
Provider Name | Joshua George |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003494212 PECOS PAC ID: 7214478627 Enrollment ID: I20240925000204 |
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