| Intensivist Group Of Pennsylvania, Pc | |
|
501 South 54th Street Philadelphia PA 19143-1900 | |
| (215) 748-9000 | |
| Not Available |
| Full Name | Intensivist Group Of Pennsylvania, Pc |
|---|---|
| Speciality | Internal Medicine - Critical Care Medicine |
| Location | 501 South 54th Street, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Jay S Cowen (PRESIDENT OWNER) |
| Authorized Official Contact | 8006552656 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intensivist Group Of Pennsylvania, Pc Dept 4931 Carol Stream IL 60122-4931 Ph: (800) 655-2656 | Intensivist Group Of Pennsylvania, Pc 501 South 54th Street Philadelphia PA 19143-1900 Ph: (215) 748-9000 |
| NPI Number | 1609825801 |
|---|---|
| Provider Enumeration Date | 05/08/2006 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609825801 | NPI | - | NPPES |
| 1637821 | Other | PA | HIGHMARK BLUE SHIELD |
| 30019158 | Other | PA | KEYSTONE MERCY |
| DC3119 | Other | PA | RAILROAD MEDICARE |
| 2315456000 | Other | PA | INDEPENDENCE BLUE CROSS |
| 1010047220001 | Medicaid | PA | |
| 34928 | Other | PA | HEALTH PARTNERS |
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