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236 W Allegheny Ave Ste 115a Philadelphia PA 19133-3629 | |
| (330) 606-1971 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 236 W Allegheny Ave Ste 115a, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Erica Warszewik (CREDENTIALING) |
| Authorized Official Contact | 7013542910 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
236 W Allegheny Ave Ste 115a Philadelphia PA 19133-3629 Ph: (701) 354-2910 | 236 W Allegheny Ave Ste 115a Philadelphia PA 19133-3629 Ph: (330) 606-1971 |
| NPI Number | 1467147165 |
|---|---|
| Provider Enumeration Date | 04/07/2023 |
| Last Update Date | 03/26/2024 |
| Medicare PECOS PAC ID | 7012377278 |
|---|---|
| Medicare Enrollment ID | O20230719002059 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467147165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Elizabeth Welsher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134534530 PECOS PAC ID: 7911203112 Enrollment ID: I20160315001296 |
| Provider Name | Judith L Chiger |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1013374735 PECOS PAC ID: 5395032908 Enrollment ID: I20160926001859 |
| Provider Name | Dehcontee Guar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730654278 PECOS PAC ID: 2163766031 Enrollment ID: I20181204000335 |
| Provider Name | Caroline Wilkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104474394 PECOS PAC ID: 0648653162 Enrollment ID: I20220816003924 |
| Provider Name | Kyle Allen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821058736 PECOS PAC ID: 2961416649 Enrollment ID: I20230811000062 |
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