| Grand View Health Endocrinology | |
|
419 S Broad St Unit 4 Lansdale PA 19446-3703 | |
| (267) 429-2561 | |
| (215) 362-1968 |
| Full Name | Grand View Health Endocrinology |
|---|---|
| Speciality | Internal Medicine |
| Location | 419 S Broad St Unit 4, Lansdale, Pennsylvania |
| Authorized Official Name and Position | Arthur Anderson (CFO) |
| Authorized Official Contact | 2154534000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand View Health Endocrinology Po Box 1111 Harleysville PA 19438-0907 Ph: (215) 453-4995 | Grand View Health Endocrinology 419 S Broad St Unit 4 Lansdale PA 19446-3703 Ph: (267) 429-2561 |
| NPI Number | 1245861384 |
|---|---|
| Provider Enumeration Date | 01/28/2020 |
| Last Update Date | 08/02/2023 |
| Medicare PECOS PAC ID | 8022001924 |
|---|---|
| Medicare Enrollment ID | O20200520000172 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245861384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Claresa Sharon Levetan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1063483469 PECOS PAC ID: 1355310954 Enrollment ID: I20040930000310 |
| Provider Name | Jenny M Koscho |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1114182748 PECOS PAC ID: 8426216599 Enrollment ID: I20120221000143 |
| Provider Name | Vasudev G Magaji |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1750589735 PECOS PAC ID: 5193974616 Enrollment ID: I20120927000130 |
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