| Parkstone Medical Associates | |
|
2304 N Broad Street Space B Philadelphia PA 19132 | |
| (215) 229-2022 | |
| (215) 229-2048 |
| Full Name | Parkstone Medical Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 2304 N Broad Street, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Donald B Parks (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2152292022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkstone Medical Associates 2304 N Broad Street Space B Philadelphia PA 19132 Ph: (215) 229-2022 | Parkstone Medical Associates 2304 N Broad Street Space B Philadelphia PA 19132 Ph: (215) 229-2022 |
| NPI Number | 1811921281 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 03/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811921281 | NPI | - | NPPES |
| 000807374 | Other | PA | HIGHMARK BLUE SHIELD ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD023038E (Pennsylvania) | Primary |
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