| Graysferry Medical Center | |
|
2501 Reed St Phila PA 19146-3900 | |
| (215) 468-7220 | |
| (215) 468-7221 |
| Full Name | Graysferry Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 2501 Reed St, Phila, Pennsylvania |
| Authorized Official Name and Position | Jacque Yvette Curtis (PRESIDENT) |
| Authorized Official Contact | 2154687220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Graysferry Medical Center 235 N Broad St Ste 200 Phila PA 19107-1531 Ph: (215) 468-7220 | Graysferry Medical Center 2501 Reed St Phila PA 19146-3900 Ph: (215) 468-7220 |
| NPI Number | 1639381254 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 02/03/2021 |
| Medicare PECOS PAC ID | 3375435662 |
|---|---|
| Medicare Enrollment ID | O20040330000419 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639381254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD055881L (Pennsylvania) | Primary |
| Provider Name | Jacque Y Curtis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598784324 PECOS PAC ID: 4587630884 Enrollment ID: I20040908000910 |
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