Maria Fogata Md Pc | |
100 West Avenue 210s Jenkintown PA 19046-2625 | |
(215) 726-3845 | |
(215) 886-1053 |
Full Name | Maria Fogata Md Pc |
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Speciality | Internal Medicine |
Location | 100 West Avenue 210s, Jenkintown, Pennsylvania |
Authorized Official Name and Position | Maria Fogata (OWNER) |
Authorized Official Contact | 2157263845 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Maria Fogata Md Pc 100 West Avenue 210s Jenkintown PA 19046-2625 Ph: (215) 726-3845 | Maria Fogata Md Pc 100 West Avenue 210s Jenkintown PA 19046-2625 Ph: (215) 726-3845 |
NPI Number | 1962513531 |
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Provider Enumeration Date | 08/31/2006 |
Last Update Date | 03/20/2023 |
Medicare PECOS PAC ID | 8921043241 |
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Medicare Enrollment ID | O20050627000759 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962513531 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD 053767L (Pennsylvania) | Primary |
207RG0300X | Internal Medicine - Geriatric Medicine | MD 053767L (Pennsylvania) | Secondary |
Provider Name | Maria L Fogata |
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Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1609064112 PECOS PAC ID: 5092750331 Enrollment ID: I20050627000932 |
Zweiback Medical Associates, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 York Rd Ste 201, Jenkintown, PA 19046 Phone: 215-935-1200 | |