| Mayfair Professional Office, Pc | |
|
7439 Frankford Ave Philadelphia PA 19136-3632 | |
| (215) 333-9484 | |
| (215) 333-7739 |
| Full Name | Mayfair Professional Office, Pc |
|---|---|
| Speciality | General Practice |
| Location | 7439 Frankford Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Neal Ira Mermelstein (OWNER) |
| Authorized Official Contact | 2153339484 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mayfair Professional Office, Pc 7439 Frankford Ave Philadelphia PA 19136-3632 Ph: (215) 333-9484 | Mayfair Professional Office, Pc 7439 Frankford Ave Philadelphia PA 19136-3632 Ph: (215) 333-9484 |
| NPI Number | 1225076144 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 02/22/2008 |
| Medicare PECOS PAC ID | 7618878539 |
|---|---|
| Medicare Enrollment ID | O20040115000066 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225076144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Neal Ira Mermelstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285676171 PECOS PAC ID: 3870494792 Enrollment ID: I20110103000118 |
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