| Penn Medicine-pma | |
|
2650 Egypt Rd Audubon PA 19403-2302 | |
| (215) 662-6187 | |
| Not Available |
| Full Name | Penn Medicine-pma |
|---|---|
| Speciality | Internal Medicine - Pulmonary Disease |
| Location | 2650 Egypt Rd, Audubon, Pennsylvania |
| Authorized Official Name and Position | Chante Jackson (PAYER SUPERVISOR) |
| Authorized Official Contact | 2672077303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Penn Medicine-pma 150 Monument Rd Bala Cynwyd PA 19004-1702 Ph: () - | Penn Medicine-pma 2650 Egypt Rd Audubon PA 19403-2302 Ph: (215) 662-6187 |
| NPI Number | 1013582840 |
|---|---|
| Provider Enumeration Date | 05/24/2021 |
| Last Update Date | 02/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013582840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | (* (Not Available)) | Primary |
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