| Northwest Medical & Rehabilitation Center Pc | |
|
6315 Stenton Ave Philadelphia PA 19138 | |
| (215) 424-1475 | |
| (215) 424-1473 |
| Full Name | Northwest Medical & Rehabilitation Center Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6315 Stenton Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Gregory Alan Nelson (PRESIDENT) |
| Authorized Official Contact | 2154241475 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Medical & Rehabilitation Center Pc 6315 Stenton Ave Philadelphia PA 19138 Ph: (215) 424-1475 | Northwest Medical & Rehabilitation Center Pc 6315 Stenton Ave Philadelphia PA 19138 Ph: (215) 424-1475 |
| NPI Number | 1093153785 |
|---|---|
| Provider Enumeration Date | 06/05/2013 |
| Last Update Date | 06/05/2013 |
| Medicare PECOS PAC ID | 8325281637 |
|---|---|
| Medicare Enrollment ID | O20130905000007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093153785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Gregory A Nelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730107970 PECOS PAC ID: 8022022052 Enrollment ID: I20080221000497 |
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