| Han John Fanning, Do | |
|
8 Morton Ave Suite 303 Ridley Park PA 19078-2210 | |
| (610) 595-6850 | |
| (610) 595-6892 |
| Full Name | Han John Fanning, Do |
|---|---|
| Speciality | Family Medicine |
| Location | 8 Morton Ave, Ridley Park, Pennsylvania |
| Authorized Official Name and Position | Brad Prechtl (PRESIDENT) |
| Authorized Official Contact | 6103388386 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Han John Fanning, Do 2602 W 9th St Chester PA 19013-2040 Ph: (610) 497-7407 | Han John Fanning, Do 8 Morton Ave Suite 303 Ridley Park PA 19078-2210 Ph: (610) 595-6850 |
| NPI Number | 1437367489 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437367489 | NPI | - | NPPES |
| 827125 | Other | PA | PABS GROUP AA |
| 5265568 | Other | PA | AETNA EPDB GROUP |
| 0858224010 | Other | PA | IBC MHS GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Dr. Ronald B Phillips And Associates Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 648a E Chester Pike, Ridley Park, PA 19078 Phone: 610-237-0100 Fax: 610-237-0114 | |
Han Mark Zibelman, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 Morton Ave, Suite 103, Ridley Park, PA 19078 Phone: 610-957-1771 Fax: 610-957-1774 | |
Internists Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 E Chester Pike, Ridley Park, PA 19078 Phone: 610-521-3333 Fax: 610-521-2263 |