| Tara Lyn Cuda Do Pc | |
|
2230 South Broad St Philadelphia PA 19145 | |
| (215) 334-3869 | |
| (215) 755-3300 |
| Full Name | Tara Lyn Cuda Do Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2230 South Broad St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Tara Lyn Cuda (PRESIDENT) |
| Authorized Official Contact | 2153343869 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Lyn Cuda Do Pc 2230 South Broad St Philadelphia PA 19145 Ph: (215) 334-3869 | Tara Lyn Cuda Do Pc 2230 South Broad St Philadelphia PA 19145 Ph: (215) 334-3869 |
| NPI Number | 1588613988 |
|---|---|
| Provider Enumeration Date | 05/10/2006 |
| Last Update Date | 10/02/2008 |
| Medicare PECOS PAC ID | 5496815599 |
|---|---|
| Medicare Enrollment ID | O20081119000477 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588613988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Tara L Cuda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770532293 PECOS PAC ID: 1052350006 Enrollment ID: I20050428000679 |
| Provider Name | Megan A Drozdowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386110021 PECOS PAC ID: 4880934397 Enrollment ID: I20190320001615 |
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