| |
518 Bustleton Pike Fl 1 Feasterville Trevose PA 19053-6035 | |
(215) 464-6040 | |
(215) 464-6046 |
Full Name | |
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Speciality | Clinic/Center |
Location | 518 Bustleton Pike Fl 1, Feasterville Trevose, Pennsylvania |
Authorized Official Name and Position | Leonid Magidenko (PHYSICIAN) |
Authorized Official Contact | 2154646040 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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518 Bustleton Pike Fl 1 Feasterville Trevose PA 19053-6035 Ph: (215) 464-6040 | 518 Bustleton Pike Fl 1 Feasterville Trevose PA 19053-6035 Ph: (215) 464-6040 |
NPI Number | 1326080896 |
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Provider Enumeration Date | 06/11/2006 |
Last Update Date | 02/03/2019 |
Medicare PECOS PAC ID | 9335113331 |
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Medicare Enrollment ID | O20040825000240 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326080896 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Mikhail I Azrilevich |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1598749178 PECOS PAC ID: 2466491824 Enrollment ID: I20050426001035 |
Provider Name | Richard M Purse |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1871624189 PECOS PAC ID: 5890886360 Enrollment ID: I20070813000566 |
Provider Name | Cosme Y Manzarbeitia |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1487614079 PECOS PAC ID: 3971664368 Enrollment ID: I20081203000708 |
Provider Name | Leonid Magidenko |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821052143 PECOS PAC ID: 4880696566 Enrollment ID: I20091014000340 |
Provider Name | Cyril Milunsky |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1306073341 PECOS PAC ID: 7315090867 Enrollment ID: I20110830000579 |
Healinghearts With Care, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 826 Bustleton Pike, Feasterville Trevose, PA 19053 Phone: 215-941-8230 | |
Feasterville Family Practice, Llp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 523 Bustleton Pike, Feasterville Trevose, PA 19053 Phone: 215-355-7900 Fax: 215-355-9005 | |