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419 S Broad St Unit 4 Lansdale PA 19446-3703 | |
(267) 429-2561 | |
(215) 362-1968 |
Full Name | |
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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 |
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Po Box 1111 Harleysville PA 19438-0907 Ph: (215) 453-4995 | 419 S Broad St Unit 4 Lansdale PA 19446-3703 Ph: (267) 429-2561 |
NPI Number | 1245861384 |
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Provider Enumeration Date | 01/28/2020 |
Last Update Date | 08/02/2023 |
Medicare PECOS PAC ID | 8022001924 |
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Medicare Enrollment ID | O20200520000172 |
Identifier | Type | State | Issuer |
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1245861384 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
Provider Name | Claresa Sharon Levetan |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1063483469 PECOS PAC ID: 1355310954 Enrollment ID: I20040930000310 |
Provider Name | Jenny M Koscho |
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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 |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1750589735 PECOS PAC ID: 5193974616 Enrollment ID: I20120927000130 |
Good Shepherd Penn Partners Specialty Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1800 Pennbrook Pkwy, Suite 200, Lansdale, PA 19446 Phone: 215-661-8660 | |
Lmg Family Practice Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1019 S Broad St, Lansdale, PA 19446 Phone: 215-361-5090 Fax: 215-412-4296 | |
Detweiler Family Medicine & Asso Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1970 North Broad Street, Lansdale, PA 19446 Phone: 215-368-1900 Fax: 215-368-8772 | |