| Philadelphia Family Medical Associates | |
|
4702 N 5th St Philadelphia PA 19120-4108 | |
| (215) 329-4888 | |
| (215) 329-5615 |
| Full Name | Philadelphia Family Medical Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 4702 N 5th St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Brian Walsh (PRESIDENT) |
| Authorized Official Contact | 2153294888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Philadelphia Family Medical Associates 4702 N 5th St Philadelphia PA 19120-4108 Ph: (215) 329-4888 | Philadelphia Family Medical Associates 4702 N 5th St Philadelphia PA 19120-4108 Ph: (215) 329-4888 |
| NPI Number | 1861434680 |
|---|---|
| Provider Enumeration Date | 06/13/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9830221647 |
|---|---|
| Medicare Enrollment ID | O20100714000531 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861434680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS006489L (Pennsylvania) | Primary |
| Provider Name | Brian Walsh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902845670 PECOS PAC ID: 0244282689 Enrollment ID: I20050215000040 |
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