| Mms-mercy Medical Associates At Eastwick | |
|
2821 Island Ave Suite D& E Philadelphia PA 19153-2300 | |
| (215) 863-6110 | |
| (215) 863-6111 |
| Full Name | Mms-mercy Medical Associates At Eastwick |
|---|---|
| Speciality | Internal Medicine |
| Location | 2821 Island Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Doug;as C Smith (VP FINANCIAL SERVICES) |
| Authorized Official Contact | 6105676964 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mms-mercy Medical Associates At Eastwick 1 W Elm St 2nd Floor Conshohocken PA 19428-2007 Ph: (610) 567-6964 | Mms-mercy Medical Associates At Eastwick 2821 Island Ave Suite D& E Philadelphia PA 19153-2300 Ph: (215) 863-6110 |
| NPI Number | 1194701292 |
|---|---|
| Provider Enumeration Date | 12/20/2005 |
| Last Update Date | 05/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194701292 | NPI | - | NPPES |
| 2234269001 | Other | PA | AMERIHEALTH DELAWARE |
| 2234269001 | Other | PA | KEYSTONE HEALTH PCP 65 |
| 100778793 0152 | Medicaid | PA | |
| 125186900 | Other | PA | DEPT OF LABOR |
| 2059546 | Other | PA | AETNA MEDICARE |
| 1551070 | Other | PA | AMERIHEALTH ADMIN |
| 1551070 | Other | PA | BLUE SHIELD COMP |
| 2234269001 | Other | PA | AMERIHEALTH NEW JERSEY |
| 2234269001 | Other | PA | AMERIHEALTH HMO |
| 2234269001 | Other | PA | BLUE SHIELD ILIN |
| 30010759 | Other | PA | KEYSTONE MERCY |
| 1551070 | Other | PA | BLUE SHIELD |
| 2234269001 | Other | PA | KEYSTONE HEALTH PLAN PCP |
| 1551070 | Other | PA | BLUE SHIELD PA 65 |
| 2059546 | Other | PA | AETNA HMO PPO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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