| Roman Dykyj Jr Md Pc | |
|
8151 Revere St Philadelphia PA 19152-3002 | |
| (215) 624-6855 | |
| Not Available |
| Full Name | Roman Dykyj Jr Md Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 8151 Revere St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Roman Dykyj (PRESIDENT) |
| Authorized Official Contact | 2156243000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roman Dykyj Jr Md Pc 8151 Revere St Philadelphia PA 19152-3002 Ph: (215) 624-6855 | Roman Dykyj Jr Md Pc 8151 Revere St Philadelphia PA 19152-3002 Ph: (215) 624-6855 |
| NPI Number | 1689850901 |
|---|---|
| Provider Enumeration Date | 01/16/2008 |
| Last Update Date | 01/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689850901 | NPI | - | NPPES |
| 0054192000 | Other | PA | INDEPENDENT BLUE CROSS |
| 0054192001 | Other | PA | KEYSTONE HPE |
| 2061288 | Other | PA | AETNA |
| A00995 | Other | PA | AMERIHEALTH ADMINISTRATOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MD027187E (Pennsylvania) | Primary |
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