| Penn's Rock Primary Care | |
|
801 Washington Ave Unit C Philadelphia PA 19147-4716 | |
| (267) 519-9359 | |
| (267) 519-8120 |
| Full Name | Penn's Rock Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 801 Washington Ave Unit C, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Monika Vansant (PHYSICIAN) |
| Authorized Official Contact | 2675199353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Penn's Rock Primary Care Po Box 251 Southampton PA 18966-0251 Ph: (215) 551-0200 | Penn's Rock Primary Care 801 Washington Ave Unit C Philadelphia PA 19147-4716 Ph: (267) 519-9359 |
| NPI Number | 1255859112 |
|---|---|
| Provider Enumeration Date | 08/31/2017 |
| Last Update Date | 02/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255859112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS010207L (Pennsylvania) | Primary |
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