Front Street Family Medicine | |
112 W Front St Media PA 19063-3232 | |
(610) 566-1881 | |
(610) 566-4776 |
Full Name | Front Street Family Medicine |
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Speciality | Family Medicine |
Location | 112 W Front St, Media, Pennsylvania |
Authorized Official Name and Position | Richard M Dimonte (PRESIDENT) |
Authorized Official Contact | 6105661881 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Front Street Family Medicine 112 W Front St Media PA 19063-3232 Ph: (610) 566-1881 | Front Street Family Medicine 112 W Front St Media PA 19063-3232 Ph: (610) 566-1881 |
NPI Number | 1730445198 |
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Provider Enumeration Date | 04/10/2012 |
Last Update Date | 04/10/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730445198 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS008967L (Pennsylvania) | Primary |
207QA0401X | Family Medicine - Addiction Medicine | OS008967L (Pennsylvania) | Secondary |
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