| Family Medical Society A Division Of Womens Medical Society | |
|
3801 05 Lancaster Ave Philadelphia PA 19104-2317 | |
| (215) 382-4300 | |
| (215) 382-3972 |
| Full Name | Family Medical Society A Division Of Womens Medical Society |
|---|---|
| Speciality | Obstetrics & Gynecology |
| Location | 3801 05 Lancaster Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Kermit B Gosnell (PRESIDENT) |
| Authorized Official Contact | 2153824300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Society A Division Of Womens Medical Society 3801 05 Lancaster Ave Philadelphia PA 19104-2317 Ph: (215) 382-4300 | Family Medical Society A Division Of Womens Medical Society 3801 05 Lancaster Ave Philadelphia PA 19104-2317 Ph: (215) 382-4300 |
| NPI Number | 1174669311 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 07/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174669311 | NPI | - | NPPES |
| 0544746 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD009422E (Pennsylvania) | Secondary |
| 207V00000X | Obstetrics & Gynecology | MD009422E (Pennsylvania) | Primary |
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