| Hjazi Health Care P.l.l.c. | |
|
927 Huntingdon Pike Ste 1 Huntingdon Valley PA 19006-8359 | |
| (215) 324-5052 | |
| (215) 324-5080 |
| Full Name | Hjazi Health Care P.l.l.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 927 Huntingdon Pike Ste 1, Huntingdon Valley, Pennsylvania |
| Authorized Official Name and Position | Izat K Al-bacha Hjazi (OFFICER) |
| Authorized Official Contact | 2153245052 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hjazi Health Care P.l.l.c. 1124 Crease St Philadelphia PA 19125-4108 Ph: (215) 324-5052 | Hjazi Health Care P.l.l.c. 927 Huntingdon Pike Ste 1 Huntingdon Valley PA 19006-8359 Ph: (215) 324-5052 |
| NPI Number | 1659552362 |
|---|---|
| Provider Enumeration Date | 11/21/2007 |
| Last Update Date | 08/22/2011 |
| Medicare PECOS PAC ID | 7517056773 |
|---|---|
| Medicare Enrollment ID | O20071211000459 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659552362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MD432731 (Pennsylvania) | Primary |
| Provider Name | Izat K Al-bacha Hjazi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952510059 PECOS PAC ID: 2668560921 Enrollment ID: I20071120000308 |
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