| Paul M Izes Pc | |
|
720 2nd Street Pike Ste 105 Southampton PA 18966-5902 | |
| (215) 322-5575 | |
| (215) 322-6806 |
| Full Name | Paul M Izes Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 720 2nd Street Pike Ste 105, Southampton, Pennsylvania |
| Authorized Official Name and Position | Paul M Izes (PHYSICIAN) |
| Authorized Official Contact | 2153225575 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul M Izes Pc 720 2nd Street Pike Ste 105 Southampton PA 18966-5902 Ph: () - | Paul M Izes Pc 720 2nd Street Pike Ste 105 Southampton PA 18966-5902 Ph: (215) 322-5575 |
| NPI Number | 1184782328 |
|---|---|
| Provider Enumeration Date | 12/04/2006 |
| Last Update Date | 04/08/2009 |
| Medicare PECOS PAC ID | 7214122514 |
|---|---|
| Medicare Enrollment ID | O20101112000044 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184782328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS006987L (Pennsylvania) | Primary |
| Provider Name | Paul M Izes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871684944 PECOS PAC ID: 1759576051 Enrollment ID: I20101112000064 |
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