Home Visiting Physicians Pc | |
2017 Ballantine Ln Warrington PA 18976-2738 | |
(215) 233-9842 | |
(215) 233-9488 |
Full Name | Home Visiting Physicians Pc |
---|---|
Speciality | Internal Medicine |
Location | 2017 Ballantine Ln, Warrington, Pennsylvania |
Authorized Official Name and Position | Jason Goft (ADMINISTRATOR) |
Authorized Official Contact | 2157717277 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Home Visiting Physicians Pc 2017 Ballantine Ln Warrington PA 18976-2738 Ph: (215) 233-9842 | Home Visiting Physicians Pc 2017 Ballantine Ln Warrington PA 18976-2738 Ph: (215) 233-9842 |
NPI Number | 1699353920 |
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Provider Enumeration Date | 03/30/2021 |
Last Update Date | 03/30/2021 |
Medicare PECOS PAC ID | 4981012309 |
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Medicare Enrollment ID | O20210422002160 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699353920 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
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