| Riddle Village | |
|
1048 W Baltimore Pike Media PA 19063-5168 | |
| (484) 621-1100 | |
| (610) 627-4789 |
| Full Name | Riddle Village |
|---|---|
| Speciality | Internal Medicine |
| Location | 1048 W Baltimore Pike, Media, Pennsylvania |
| Authorized Official Name and Position | Cathy Frewin (AR SPECIALIST) |
| Authorized Official Contact | 6108913806 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Riddle Village 1048 W Baltimore Pike Media PA 19063-5168 Ph: (484) 621-1100 | Riddle Village 1048 W Baltimore Pike Media PA 19063-5168 Ph: (484) 621-1100 |
| NPI Number | 1588446629 |
|---|---|
| Provider Enumeration Date | 10/13/2023 |
| Last Update Date | 10/13/2023 |
| Medicare PECOS PAC ID | 7416106935 |
|---|---|
| Medicare Enrollment ID | O20240126003871 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588446629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Joseph D Hope |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699743377 PECOS PAC ID: 9335185776 Enrollment ID: I20050707000488 |
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