| Greater Northeast Gastroenterology Associates Pc | |
|
7439 Frankford Ave Philadelphia PA 19136 | |
| (215) 333-1377 | |
| (215) 333-1399 |
| Full Name | Greater Northeast Gastroenterology Associates Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7439 Frankford Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Alan Mark Mermelstein (PRESIDENT) |
| Authorized Official Contact | 2156345595 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Northeast Gastroenterology Associates Pc 7439 Frankford Ave Philadelphia PA 19136-3600 Ph: (215) 333-1377 | Greater Northeast Gastroenterology Associates Pc 7439 Frankford Ave Philadelphia PA 19136 Ph: (215) 333-1377 |
| NPI Number | 1255464749 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 06/07/2018 |
| Medicare PECOS PAC ID | 3779556337 |
|---|---|
| Medicare Enrollment ID | O20040813000075 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255464749 | NPI | - | NPPES |
| 0011228030002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | MD033183E (Pennsylvania) | Primary |
| Provider Name | Alan M Mermelstein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073520458 PECOS PAC ID: 7719171172 Enrollment ID: I20101029000223 |
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