| Larchwood Medical Associates | |
|
501 S 54th St Ste 227 Phila PA 19143-1900 | |
| (215) 528-5288 | |
| (215) 528-5033 |
| Full Name | Larchwood Medical Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 501 S 54th St, Phila, Pennsylvania |
| Authorized Official Name and Position | Raymond Lloyd Coleman (PRESIDENT) |
| Authorized Official Contact | 2155285288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Larchwood Medical Associates 501 S 54th St Ste 227 Phila PA 19143-1900 Ph: (215) 528-5288 | Larchwood Medical Associates 501 S 54th St Ste 227 Phila PA 19143-1900 Ph: (215) 528-5288 |
| NPI Number | 1558387951 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558387951 | NPI | - | NPPES |
| 0688521 | Medicaid | PA | |
| 0674187001 | Other | PA | KEYSTONE |
| 0054772000 | Other | PA | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD019877E (Pennsylvania) | Primary |
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