| Rittenhouse Internal Medicine, Pc | |
|
1632 Pine St Philadelphia PA 19103-6711 | |
| (215) 630-4072 | |
| Not Available |
| Full Name | Rittenhouse Internal Medicine, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1632 Pine St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Bruce Saltzman (PRESIDENT) |
| Authorized Official Contact | 2156304072 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rittenhouse Internal Medicine, Pc 1632 Pine St Philadelphia PA 19103-6711 Ph: () - | Rittenhouse Internal Medicine, Pc 1632 Pine St Philadelphia PA 19103-6711 Ph: (215) 630-4072 |
| NPI Number | 1568631430 |
|---|---|
| Provider Enumeration Date | 02/26/2008 |
| Last Update Date | 08/26/2014 |
| Medicare PECOS PAC ID | 8820173081 |
|---|---|
| Medicare Enrollment ID | O20080312000081 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568631430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | FDGDFGDF (Pennsylvania) | Primary |
| Provider Name | Jennifer Orr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538165915 PECOS PAC ID: 0244203982 Enrollment ID: I20040819000543 |
| Provider Name | Gayllyn Faust-rakos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366474405 PECOS PAC ID: 9234024902 Enrollment ID: I20070314000116 |
| Provider Name | Maria Mazzotti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689601288 PECOS PAC ID: 7719075506 Enrollment ID: I20071112000520 |
| Provider Name | Leslie A Saltzman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730231226 PECOS PAC ID: 0648351999 Enrollment ID: I20080114000123 |
| Provider Name | Elizabeth Fabens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053380923 PECOS PAC ID: 2961589569 Enrollment ID: I20100505000110 |
| Provider Name | Alicia Loper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144795782 PECOS PAC ID: 5395087167 Enrollment ID: I20190426000017 |
| Provider Name | Courtney N Liggera |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447544515 PECOS PAC ID: 0941619332 Enrollment ID: I20210517000046 |
| Provider Name | Hedy Lydia Siedarta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659091437 PECOS PAC ID: 4284019894 Enrollment ID: I20220919001375 |
| Provider Name | Juliet Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023640406 PECOS PAC ID: 6507296829 Enrollment ID: I20241101000019 |
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