| Internal Medicine @ Jeanes - Loney Street | |
|
1600 Loney St Philadelphia PA 19111-2935 | |
| (215) 742-1166 | |
| (215) 745-1333 |
| Full Name | Internal Medicine @ Jeanes - Loney Street |
|---|---|
| Speciality | Internal Medicine |
| Location | 1600 Loney St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Lynnie Savering (DIRECTOR) |
| Authorized Official Contact | 2159269015 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine @ Jeanes - Loney Street Po Box 820933 Philadelphia PA 19182-0933 Ph: (215) 926-9000 | Internal Medicine @ Jeanes - Loney Street 1600 Loney St Philadelphia PA 19111-2935 Ph: (215) 742-1166 |
| NPI Number | 1063625366 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 03/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063625366 | NPI | - | NPPES |
| 1007278000069 | Medicaid | PA | |
| 0756985076 | Other | PA | IBC (KHPE & PC) |
| 30041229 | Other | PA | KEYSTONE MERCY |
| 1961930 | Other | PA | HIGHMARK BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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