| Parkside Family Medicine | |
|
515 W Chelten Ave Phila PA 19144-4414 | |
| (215) 848-6700 | |
| (215) 843-0770 |
| Full Name | Parkside Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 515 W Chelten Ave, Phila, Pennsylvania |
| Authorized Official Name and Position | Robert M Weinstock (PRESIDENT) |
| Authorized Official Contact | 2158486700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkside Family Medicine 515 W Chelten Ave Phila PA 19144-4414 Ph: (215) 848-6700 | Parkside Family Medicine 515 W Chelten Ave Phila PA 19144-4414 Ph: (215) 848-6700 |
| NPI Number | 1639216385 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 06/22/2010 |
| Medicare PECOS PAC ID | 7315920303 |
|---|---|
| Medicare Enrollment ID | O20040610001033 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639216385 | NPI | - | NPPES |
| 0019446710001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Richard C Helzner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568466225 PECOS PAC ID: 6901842780 Enrollment ID: I20050701000230 |
| Provider Name | Daniel A Schwartz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609913391 PECOS PAC ID: 4183892631 Enrollment ID: I20110727000614 |
| Provider Name | Lindsay F Good |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952681637 PECOS PAC ID: 3274707054 Enrollment ID: I20111111000588 |
| Provider Name | Glenn D Rosen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629115340 PECOS PAC ID: 9133363872 Enrollment ID: I20130918000568 |
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