| |
2400 E Cumberland St Philadelphia PA 19125-3105 | |
(215) 423-9930 | |
(215) 425-2881 |
Full Name | |
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Speciality | Family Medicine |
Location | 2400 E Cumberland St, 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 |
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Po Box 820933 Philadelphia PA 19182-0933 Ph: (215) 926-9000 | 2400 E Cumberland St Philadelphia PA 19125-3105 Ph: (215) 423-9930 |
NPI Number | 1871645945 |
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Provider Enumeration Date | 01/17/2007 |
Last Update Date | 02/01/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871645945 | NPI | - | NPPES |
0756985060 | Other | PA | IBC (KHPE & PC) |
5320756 | Other | PA | AETNA PPO |
7214289 | Other | PA | CIGNA CAP & PPO |
1961908 | Other | PA | HIGHMARK BLUE SHIELD |
30011512 | Other | PA | KEYSTONE MERCY |
31928 | Other | PA | HEALTH PARTNERS SITE # |
0466249 | Other | PA | AETNA HMO |
14539 | Other | PA | ELDER HEALTH |
CD4829 | Other | PA | RRM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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