| Geps Physician Group Of Pennsylvania, Pc | |
|
350 E La Canada Blvd Avondale AZ 85323-1643 | |
| (623) 932-2282 | |
| Not Available |
| Full Name | Geps Physician Group Of Pennsylvania, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 350 E La Canada Blvd, Avondale, Arizona |
| Authorized Official Name and Position | Eric Shapiro (VP/AREA CONTROLLER) |
| Authorized Official Contact | 4108327790 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geps Physician Group Of Pennsylvania, Pc Po Box 42738 Towson MD 21284-2738 Ph: (410) 494-7607 | Geps Physician Group Of Pennsylvania, Pc 350 E La Canada Blvd Avondale AZ 85323-1643 Ph: (623) 932-2282 |
| NPI Number | 1851774897 |
|---|---|
| Provider Enumeration Date | 07/08/2015 |
| Last Update Date | 08/05/2019 |
| Medicare PECOS PAC ID | 8426953597 |
|---|---|
| Medicare Enrollment ID | O20161110001225 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851774897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Faith Sgroi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689034720 PECOS PAC ID: 0446549042 Enrollment ID: I20201118002626 |
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