| Glenside Internal Medicine | |
|
7848 Old York Rd Suite 104 Elkins Park PA 19027-2541 | |
| (215) 885-0300 | |
| (215) 885-9108 |
| Full Name | Glenside Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 7848 Old York Rd, Elkins Park, Pennsylvania |
| Authorized Official Name and Position | Michael B Walsh (SENIOR VP FINANCE) |
| Authorized Official Contact | 2154812850 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Glenside Internal Medicine Po Box 826594 Philadelphia PA 19182-6594 Ph: (215) 885-0300 | Glenside Internal Medicine 7848 Old York Rd Suite 104 Elkins Park PA 19027-2541 Ph: (215) 885-0300 |
| NPI Number | 1366480113 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 10/10/2022 |
| Medicare PECOS PAC ID | 3274437736 |
|---|---|
| Medicare Enrollment ID | O20040115000175 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366480113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Elliott Brownstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518962075 PECOS PAC ID: 0143121665 Enrollment ID: I20040117000089 |
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