| Northstar Llc | |
|
1432 Kater St Philadelphia PA 19146-1620 | |
| (609) 405-1575 | |
| Not Available |
| Full Name | Northstar Llc |
|---|---|
| Speciality | General Practice |
| Location | 1432 Kater St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Raymond Ragland (OWNER) |
| Authorized Official Contact | 2153011220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northstar Llc 1432 Kater St Philadelphia PA 19146-1620 Ph: (609) 405-1575 | Northstar Llc 1432 Kater St Philadelphia PA 19146-1620 Ph: (609) 405-1575 |
| NPI Number | 1063017572 |
|---|---|
| Provider Enumeration Date | 12/02/2020 |
| Last Update Date | 12/02/2020 |
| Medicare PECOS PAC ID | 7416338165 |
|---|---|
| Medicare Enrollment ID | O20220713001320 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063017572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Raymond Ragland |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1962597328 PECOS PAC ID: 6406895572 Enrollment ID: I20220713001410 |
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