Mcshane Sports Medicine | |
734 E Lancaster Ave Villanova PA 19085-1325 | |
(610) 254-8001 | |
(610) 254-0911 |
Full Name | Mcshane Sports Medicine |
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Speciality | Family Medicine |
Location | 734 E Lancaster Ave, Villanova, Pennsylvania |
Authorized Official Name and Position | John M Mcshane (PRESIDENT) |
Authorized Official Contact | 6102548001 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mcshane Sports Medicine 734 E Lancaster Ave Villanova PA 19085-1325 Ph: (610) 254-8001 | Mcshane Sports Medicine 734 E Lancaster Ave Villanova PA 19085-1325 Ph: (610) 254-8001 |
NPI Number | 1831143361 |
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Provider Enumeration Date | 05/20/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 2769457431 |
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Medicare Enrollment ID | O20040827000237 |
Identifier | Type | State | Issuer |
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1831143361 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207QS0010X | Family Medicine - Sports Medicine | MD055461L (Pennsylvania) | Primary |
Provider Name | John M Mcshane |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932216637 PECOS PAC ID: 0446229728 Enrollment ID: I20100108000699 |
Holistic Family Medicine Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2017 Montgomery Ave, Villanova, PA 19085 Phone: 610-525-5254 |