Peace Valley Internal Medicine Pc | |
5039 Swamp Road Suite 401 Fountainville PA 18923-9667 | |
(215) 230-8380 | |
(215) 230-8370 |
Full Name | Peace Valley Internal Medicine Pc |
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Speciality | Internal Medicine |
Location | 5039 Swamp Road, Fountainville, Pennsylvania |
Authorized Official Name and Position | Susan M Purcell (TREASURER) |
Authorized Official Contact | 2152308380 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Peace Valley Internal Medicine Pc 5039 Swamp Road Suite 401 Fountainville PA 18923-9667 Ph: (215) 230-8380 | Peace Valley Internal Medicine Pc 5039 Swamp Road Suite 401 Fountainville PA 18923-9667 Ph: (215) 230-8380 |
NPI Number | 1578658928 |
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Provider Enumeration Date | 10/03/2006 |
Last Update Date | 12/20/2010 |
Medicare PECOS PAC ID | 8224018569 |
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Medicare Enrollment ID | O20040726000711 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578658928 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (Pennsylvania) | Primary |
Provider Name | Susan Lipson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1366591307 PECOS PAC ID: 1557370020 Enrollment ID: I20060411000465 |
Provider Name | Alan Ira Abramowitz |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1730181595 PECOS PAC ID: 6204934896 Enrollment ID: I20070605000526 |
Provider Name | Susan M Purcell |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912092230 PECOS PAC ID: 7113907460 Enrollment ID: I20100824000364 |
Provider Name | Jennifer Shoup |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962793059 PECOS PAC ID: 6305017302 Enrollment ID: I20110923000245 |
Provider Name | Katherine West Mohr |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649630815 PECOS PAC ID: 0446557144 Enrollment ID: I20160323002132 |
Provider Name | Diane Blackman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750784971 PECOS PAC ID: 2466730692 Enrollment ID: I20180411000693 |
Provider Name | Margaret Welch |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699296749 PECOS PAC ID: 3274895867 Enrollment ID: I20180815002376 |
Provider Name | Michael Anthony Wortell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932718582 PECOS PAC ID: 2264837012 Enrollment ID: I20210818000026 |