| Gemedco Family Practice | |
|
5801 Chew Ave Floor 1 Phila PA 19138-1727 | |
| (215) 844-3500 | |
| (215) 844-3556 |
| Full Name | Gemedco Family Practice |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 5801 Chew Ave, Phila, Pennsylvania |
| Authorized Official Name and Position | Onyeama O Anakwe (ATTENDING PHYSICIAN) |
| Authorized Official Contact | 2158443500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gemedco Family Practice 5801 Chew Ave Floor 1 Phila PA 19138-1727 Ph: (215) 844-3500 | Gemedco Family Practice 5801 Chew Ave Floor 1 Phila PA 19138-1727 Ph: (215) 844-3500 |
| NPI Number | 1174696397 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 04/30/2013 |
| Medicare PECOS PAC ID | 0143418392 |
|---|---|
| Medicare Enrollment ID | O20110103000825 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174696397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS011936 (Pennsylvania) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | OS011936 (Pennsylvania) | Primary |
| Provider Name | Onyeama Anakwe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568501989 PECOS PAC ID: 7416146519 Enrollment ID: I20110105000442 |
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