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10431 Academy Rd Suite J Philadelphia PA 19114-1126 | |
| (215) 637-4300 | |
| (215) 637-8507 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 10431 Academy Rd, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Herbert M. Schecter (SOLE PROPRIATOR) |
| Authorized Official Contact | 2156374300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
10431 Academy Rd Suite J Philadelphia PA 19114-1126 Ph: (215) 637-4300 | 10431 Academy Rd Suite J Philadelphia PA 19114-1126 Ph: (215) 637-4300 |
| NPI Number | 1265631626 |
|---|---|
| Provider Enumeration Date | 07/16/2007 |
| Last Update Date | 02/02/2010 |
| Medicare PECOS PAC ID | 9032201033 |
|---|---|
| Medicare Enrollment ID | O20070822000939 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265631626 | NPI | - | NPPES |
| 001258599 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Herbert M Schecter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912015744 PECOS PAC ID: 7214971936 Enrollment ID: I20050614000713 |
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