|
| |
|
501 S 54th St Suite 126 Philadelphia PA 19143-1900 | |
| (215) 748-9872 | |
| (215) 748-9869 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 501 S 54th St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Douglas 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 |
|---|---|
1 W Elm St 2nd Floor Conshohocken PA 19428-2007 Ph: (610) 567-6964 | 501 S 54th St Suite 126 Philadelphia PA 19143-1900 Ph: (215) 748-9872 |
| NPI Number | 1548246127 |
|---|---|
| Provider Enumeration Date | 12/16/2005 |
| Last Update Date | 08/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548246127 | NPI | - | NPPES |
| 36430 | Other | PA | HEALTHPARTNERS |
| 1007787930162 | Medicaid | PA | |
| 1217362 | Other | PA | AUSHC HMO |
| 1761038 | Other | PA | BLUE SHIELD |
| 2426698000 | Other | PA | KEYSTONE HEALTH PLAN EAST |
| 30031042 | Other | PA | KEYSTONE MERCY HEALTH PLA |
| 7479774 | Other | PA | AUSHC PPO |
Laura Yatvin Nutrition Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4231 N. 5th Street, Philadelphia, PA 19140 Phone: 215-455-5370 Fax: 215-455-5374 | |
Health Hero Pa Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 217 Dickinson St, Philadelphia, PA 19147 Phone: 484-667-3382 | |
Vo Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1735 Market St Fl 52, Philadelphia, PA 19103 Phone: 267-314-7252 | |
Rooted Healthcare, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3101 Tyson Ave, Philadelphia, PA 19149 Phone: 917-861-2531 | |
Care Health Partners Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1308 Cottman Ave, Philadelphia, PA 19111 Phone: 732-766-1827 Fax: 609-890-0950 | |
University Of Penn - Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3400 Spruce St, 3 Ravdin, Suite F, Pulmonary & Critical Care, Philadelphia, PA 19104 Phone: 215-662-3202 | |