| Internal Medicine /dru | |
|
333 Cottman Ave Dru - West Bldg Clinical Research Unit Philadelphia PA 19111-2434 | |
| (215) 728-2719 | |
| (215) 214-4046 |
| Full Name | Internal Medicine /dru |
|---|---|
| Speciality | Internal Medicine |
| Location | 333 Cottman Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | J. Robert Beck (CMO/CAO) |
| Authorized Official Contact | 2152141409 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine /dru 333 Cottman Ave Medical Staff Office/enrollment Philadelphia PA 19111-2434 Ph: (215) 214-1405 | Internal Medicine /dru 333 Cottman Ave Dru - West Bldg Clinical Research Unit Philadelphia PA 19111-2434 Ph: (215) 728-2719 |
| NPI Number | 1023397262 |
|---|---|
| Provider Enumeration Date | 08/05/2011 |
| Last Update Date | 01/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023397262 | NPI | - | NPPES |
| 0012467940079 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RC0200X | Internal Medicine - Critical Care Medicine | (* (Not Available)) | Secondary |
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