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100 E Lehigh Ave Mab 205 Philadelphia PA 19125-1012 | |
| (215) 707-1152 | |
| (215) 707-1154 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 E Lehigh 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) 926-9010 | 100 E Lehigh Ave Mab 205 Philadelphia PA 19125-1012 Ph: (215) 707-1152 |
| NPI Number | 1649322587 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 03/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649322587 | NPI | - | NPPES |
| 0756985054 | Other | PA | IBC (KHPE & PC) |
| 1961947 | Other | PA | HIGHMARK BLUE SHIELD |
| 30008502 | Other | PA | KEYSTONE MERCY |
| 0118033 | Other | PA | AETNA HMO |
| 02867 | Other | PA | HEALTH PARTNERS SITE # |
| 5015295 | Other | PA | AETNA PPO |
| 15393 | Other | PA | ELDER HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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