| Ne Physician Services Inc | |
|
3542 Welsh Rd Ne Physician Services Inc Philadelphia PA 19136-2623 | |
| (215) 333-6888 | |
| (215) 333-3945 |
| Full Name | Ne Physician Services Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3542 Welsh Rd, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Stanley T Depman (DIRECTOR) |
| Authorized Official Contact | 2153336888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ne Physician Services Inc 3542 Welsh Rd Ne Physician Services Inc Philadelphia PA 19136-2623 Ph: (215) 333-6888 | Ne Physician Services Inc 3542 Welsh Rd Ne Physician Services Inc Philadelphia PA 19136-2623 Ph: (215) 333-6888 |
| NPI Number | 1518923036 |
|---|---|
| Provider Enumeration Date | 04/24/2006 |
| Last Update Date | 09/06/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518923036 | NPI | - | NPPES |
| 0097905000 | Other | PA | PERSONAL CHOICE |
| CH4674 | Other | RR MEDICARE | |
| 30000255 | Other | PA | KEYSTONE MERCY |
| 405091 | Other | PA | BS |
| 0011250730009 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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