Primary Care Group, Pc | |
858 E Welsh Rd Suite 10 Maple Glen PA 19002 | |
(215) 283-2838 | |
(215) 283-9978 |
Full Name | Primary Care Group, Pc |
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Speciality | Internal Medicine |
Location | 858 E Welsh Rd, Maple Glen, Pennsylvania |
Authorized Official Name and Position | Wanzhu Tang (PRESIDENT) |
Authorized Official Contact | 2152832838 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Primary Care Group, Pc P.o. Box 26 Ft Washington PA 19034-0026 Ph: (215) 283-2838 | Primary Care Group, Pc 858 E Welsh Rd Suite 10 Maple Glen PA 19002 Ph: (215) 283-2838 |
NPI Number | 1245287770 |
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Provider Enumeration Date | 05/29/2006 |
Last Update Date | 08/30/2010 |
Medicare PECOS PAC ID | 9830081322 |
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Medicare Enrollment ID | O20040329000825 |
Identifier | Type | State | Issuer |
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1245287770 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Noi Walkenstein |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1003852013 PECOS PAC ID: 9931102423 Enrollment ID: I20060823000451 |
Provider Name | Wanzhu Tang |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1982645966 PECOS PAC ID: 8123055514 Enrollment ID: I20110111000442 |
Provider Name | Joseph M Bucher |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851682157 PECOS PAC ID: 1557548419 Enrollment ID: I20110602000485 |
Provider Name | Allison M Paisley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891132726 PECOS PAC ID: 7618119553 Enrollment ID: I20130806000554 |
Provider Name | Amy Alicia Dougherty |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154609071 PECOS PAC ID: 4183841588 Enrollment ID: I20140808000012 |
Provider Name | Cara A Caputo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699213223 PECOS PAC ID: 3072890003 Enrollment ID: I20170501001011 |
Provider Name | Mehrnaz M G Ghorashi |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013315670 PECOS PAC ID: 8224344759 Enrollment ID: I20170524000353 |
Provider Name | Annie Wong |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013561539 PECOS PAC ID: 9133458730 Enrollment ID: I20190906002448 |
Provider Name | Mini D Koshy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316552706 PECOS PAC ID: 3072929967 Enrollment ID: I20210301000624 |