| |
523 Bustleton Pike Feasterville Trevose PA 19053-6051 | |
(215) 355-7900 | |
(215) 355-9005 |
Full Name | |
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Speciality | Family Medicine |
Location | 523 Bustleton Pike, Feasterville Trevose, Pennsylvania |
Authorized Official Name and Position | John Z Mcdonald (OWNER/PHYSICIAN) |
Authorized Official Contact | 2153557900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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523 Bustleton Pike Feasterville Trevose PA 19053-6051 Ph: (215) 355-7900 | 523 Bustleton Pike Feasterville Trevose PA 19053-6051 Ph: (215) 355-7900 |
NPI Number | 1053356477 |
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Provider Enumeration Date | 06/19/2006 |
Last Update Date | 11/26/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053356477 | NPI | - | NPPES |
0009046530002 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS004867L (Pennsylvania) | Secondary |
207Q00000X | Family Medicine | OS010843L (Pennsylvania) | Primary |
Healinghearts With Care, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 826 Bustleton Pike, Feasterville Trevose, PA 19053 Phone: 215-941-8230 | |
Feasterville Family Practice, Llp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 523 Bustleton Pike, Feasterville Trevose, PA 19053 Phone: 215-355-7900 Fax: 215-355-9005 | |