Southern Berks Family Medicine, Pc | |
4885 Demoss Rd Suite 201 Reading PA 19606-9023 | |
(610) 779-8951 | |
(610) 779-9487 |
Full Name | Southern Berks Family Medicine, Pc |
---|---|
Speciality | Family Medicine |
Location | 4885 Demoss Rd, Reading, Pennsylvania |
Authorized Official Name and Position | Charles T Givens (PRESIDENT) |
Authorized Official Contact | 6107798951 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Southern Berks Family Medicine, Pc Po Box 4609 Reading PA 19606-0309 Ph: (610) 779-8951 | Southern Berks Family Medicine, Pc 4885 Demoss Rd Suite 201 Reading PA 19606-9023 Ph: (610) 779-8951 |
NPI Number | 1649224254 |
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Provider Enumeration Date | 05/19/2006 |
Last Update Date | 08/12/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649224254 | NPI | - | NPPES |
0018418800001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Secondary |
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