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133 W Hunting Park Ave Suite 300-a Philadelphia PA 19140-2717 | |
| (215) 324-0600 | |
| (215) 324-2795 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 133 W Hunting Park Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Lynnie Savering (DIRECTOR) |
| Authorized Official Contact | 2159269015 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 820933 Philadelphia PA 19182-0933 Ph: (215) 926-9000 | 133 W Hunting Park Ave Suite 300-a Philadelphia PA 19140-2717 Ph: (215) 324-0600 |
| NPI Number | 1659422996 |
|---|---|
| Provider Enumeration Date | 01/15/2007 |
| Last Update Date | 05/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659422996 | NPI | - | NPPES |
| 1061245 | Other | PA | KEYSTONE MERCY |
| 1962003 | Other | PA | HIGHMARK BLUE SHIELD |
| 15367 | Other | PA | ELDER HEALTH |
| CD4829 | Other | PA | RRM |
| 0756985017 | Other | PA | IBC (KHPE & PC) |
| 20114 | Other | PA | HEALTH PARTNERS SITE # |
| 0970508 | Other | PA | AETNA HMO |
| 5222594 | Other | PA | AETNA PPO |
| 8671035 | Other | PA | CIGNA CAP & PPO |
| 100727800 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
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