| Redeemer Retirement Community Primary Care | |
|
8580 Verree Rd Philadelphia PA 19111-1370 | |
| (215) 214-3815 | |
| (215) 214-3816 |
| Full Name | Redeemer Retirement Community Primary Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 8580 Verree Rd, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Russell R Wagner (EXECUTIVE VICE PRESIDENT FINANCE) |
| Authorized Official Contact | 2158561114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Redeemer Retirement Community Primary Care 12265 Townsend Rd Philadelphia PA 19154-1201 Ph: (215) 856-1010 | Redeemer Retirement Community Primary Care 8580 Verree Rd Philadelphia PA 19111-1370 Ph: (215) 214-3815 |
| NPI Number | 1174073563 |
|---|---|
| Provider Enumeration Date | 10/10/2016 |
| Last Update Date | 10/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174073563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS005558L (Pennsylvania) | Primary |
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