Stanley J. Travis, Jr, D.o., P.c. | |
501 Buckman Drive Hatboro PA 19040-1402 | |
(215) 672-6877 | |
(215) 672-6812 |
Full Name | Stanley J. Travis, Jr, D.o., P.c. |
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Speciality | Family Medicine |
Location | 501 Buckman Drive, Hatboro, Pennsylvania |
Authorized Official Name and Position | Stanley J Travis (PRES) |
Authorized Official Contact | 2156726877 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Stanley J. Travis, Jr, D.o., P.c. 501 Buckman Drive Hatboro PA 19040-1402 Ph: (215) 672-6877 | Stanley J. Travis, Jr, D.o., P.c. 501 Buckman Drive Hatboro PA 19040-1402 Ph: (215) 672-6877 |
NPI Number | 1356669246 |
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Provider Enumeration Date | 05/17/2010 |
Last Update Date | 05/17/2010 |
Medicare PECOS PAC ID | 9032248547 |
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Medicare Enrollment ID | O20100521000245 |
Identifier | Type | State | Issuer |
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1356669246 | NPI | - | NPPES |
00606544-01 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS002173L (Pennsylvania) | Primary |
Provider Name | Stanley J Travis |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902967797 PECOS PAC ID: 4385773803 Enrollment ID: I20100521000386 |
Dpc Vax Solutions Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 319 W County Line Rd Ste 6, Hatboro, PA 19040 Phone: 215-420-7587 |