| South Olds Medi-center | |
|
1 Sugarmaple Ln Levittown PA 19055-2007 | |
| (215) 945-8400 | |
| (215) 945-9368 |
| Full Name | South Olds Medi-center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1 Sugarmaple Ln, Levittown, Pennsylvania |
| Authorized Official Name and Position | Anthony Mannino (OWNER) |
| Authorized Official Contact | 2159458400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Olds Medi-center 1 Sugarmaple Ln Levittown PA 19055-2007 Ph: (215) 945-8400 | South Olds Medi-center 1 Sugarmaple Ln Levittown PA 19055-2007 Ph: (215) 945-8400 |
| NPI Number | 1932266483 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932266483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MD 040286-L (Pennsylvania) | Primary |
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