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2317 E Westmoreland St Philadelphia PA 19134-4529 | |
| (215) 291-3115 | |
| (215) 291-3000 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 2317 E Westmoreland St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Lynnie Savering (DIRECTOR OF ACCOUNTING) |
| 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) 926-9010 | 2317 E Westmoreland St Philadelphia PA 19134-4529 Ph: (215) 291-3115 |
| NPI Number | 1457403164 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 03/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457403164 | NPI | - | NPPES |
| 0756985073 | Other | PA | IBC (KHPE & PC) |
| 7981795 | Other | PA | AETNA PPO |
| 0094318 | Other | PA | AETNA HMO |
| 30029276 | Other | PA | KEYSTONE MERCY |
| CD4829 | Other | PA | RRM |
| 100727800 | Medicaid | PA | |
| 36347 | Other | PA | HEALTH PARTNERS (SITE #) |
| 1961862 | Other | PA | HIGHMARK BLUE SHIELD |
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