Poplar Medical Group,llc | |
2100 W Girard Ave Philadelphia PA 19130-1400 | |
(215) 685-0800 | |
(215) 685-0846 |
Full Name | Poplar Medical Group,llc |
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Speciality | Internal Medicine |
Location | 2100 W Girard Ave, Philadelphia, Pennsylvania |
Authorized Official Name and Position | Dennis Eneanya (PRESIDENT) |
Authorized Official Contact | 2156714280 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Poplar Medical Group,llc Po Box 687 Jenkintown PA 19046-3706 Ph: (215) 671-4280 | Poplar Medical Group,llc 2100 W Girard Ave Philadelphia PA 19130-1400 Ph: (215) 685-0800 |
NPI Number | 1104470764 |
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Provider Enumeration Date | 07/31/2019 |
Last Update Date | 07/31/2019 |
Medicare PECOS PAC ID | 5092047480 |
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Medicare Enrollment ID | O20191105001095 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104470764 | NPI | - | NPPES |
Provider Name | Dennis I Eneanya |
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Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1699751230 PECOS PAC ID: 1850437336 Enrollment ID: I20091014000393 |
Provider Name | Mohammad A Sayeed |
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Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1700888500 PECOS PAC ID: 8426190117 Enrollment ID: I20100119000190 |
Provider Name | Natalia Bridy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760879167 PECOS PAC ID: 9537441787 Enrollment ID: I20170123002172 |
Provider Name | Hadijatou Joyce Jarra |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1184837874 PECOS PAC ID: 3779675715 Enrollment ID: I20180925001145 |
Provider Name | Ya-feng Liang |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548681992 PECOS PAC ID: 8123381373 Enrollment ID: I20190111000134 |
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