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2510 Maryland Rd Ste 160 Willow Grove PA 19090-1137 | |
(215) 672-6622 | |
(856) 624-3572 |
Full Name | |
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Speciality | Pediatrics |
Location | 2510 Maryland Rd Ste 160, Willow Grove, Pennsylvania |
Authorized Official Name and Position | Jacob Peltzman (ADMINISTRATOR) |
Authorized Official Contact | 8564704776 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1673 Voorhees NJ 08043-7673 Ph: (856) 266-0277 | 2510 Maryland Rd Ste 160 Willow Grove PA 19090-1137 Ph: (215) 672-6622 |
NPI Number | 1205474350 |
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Provider Enumeration Date | 12/18/2019 |
Last Update Date | 10/16/2020 |
Identifier | Type | State | Issuer |
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1205474350 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
208000000X | Pediatrics | (* (Not Available)) | Primary |
North Willow Grove Family Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2701 Blair Mill Rd, Suite 20, Willow Grove, PA 19090 Phone: 215-672-7070 Fax: 215-672-6426 | |
Montgomery County Advanced Medical Imaging, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2701 Blair Mill Rd, Blairwood Bldg. Suite 9, Willow Grove, PA 19090 Phone: 215-481-3377 Fax: 215-481-7682 | |