Medica Center Of Richboro, P.c. | |
778 2nd Street Pike Richboro PA 18954-1003 | |
(215) 942-2850 | |
(215) 942-2854 |
Full Name | Medica Center Of Richboro, P.c. |
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Speciality | Family Medicine |
Location | 778 2nd Street Pike, Richboro, Pennsylvania |
Authorized Official Name and Position | Ronald S. Luber (PRESIDENT) |
Authorized Official Contact | 2159422850 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Medica Center Of Richboro, P.c. 778 2nd Street Pike Richboro PA 18954-1003 Ph: (215) 942-2850 | Medica Center Of Richboro, P.c. 778 2nd Street Pike Richboro PA 18954-1003 Ph: (215) 942-2850 |
NPI Number | 1093744856 |
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Provider Enumeration Date | 07/02/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 4082660295 |
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Medicare Enrollment ID | O20050330000478 |
Identifier | Type | State | Issuer |
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1093744856 | NPI | - | NPPES |
0006162820007 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | OS002905L (Pennsylvania) | Primary |
Provider Name | Ronald S Luber |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1598794968 PECOS PAC ID: 9032173075 Enrollment ID: I20041118000671 |
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