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515 W Chelten Ave Phila PA 19144-4414 | |
| (215) 848-6700 | |
| (215) 843-0770 |
| Full Name | |
|---|---|
| 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 | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
515 W Chelten Ave Phila PA 19144-4414 Ph: (215) 848-6700 | 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 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639216385 | NPI | - | NPPES |
| 0019446710001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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