| St Vincent Medical Associates | |
|
703 Cecil B Moore Ave Phila PA 19122 | |
| (215) 763-9564 | |
| (215) 763-1165 |
| Full Name | St Vincent Medical Associates |
|---|---|
| Speciality | General Practice |
| Location | 703 Cecil B Moore Ave, Phila, Pennsylvania |
| Authorized Official Name and Position | Myron Rodos (PHYSICIAN) |
| Authorized Official Contact | 2157639564 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Vincent Medical Associates 703 Cecil B Moore Ave Phila PA 19122 Ph: (215) 763-9564 | St Vincent Medical Associates 703 Cecil B Moore Ave Phila PA 19122 Ph: (215) 763-9564 |
| NPI Number | 1467514794 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 07/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467514794 | NPI | - | NPPES |
| 041759GGJ | Other | PHYSICIAN MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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