| United Medical Clinic Of Pa, Llc | |
|
5201 Pennell Rd Ste A Media PA 19063-6502 | |
| (877) 346-4543 | |
| (866) 713-7699 |
| Full Name | United Medical Clinic Of Pa, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5201 Pennell Rd Ste A, Media, Pennsylvania |
| Authorized Official Name and Position | Leemu Valerie Kerkula (OWNER) |
| Authorized Official Contact | 8773464543 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| United Medical Clinic Of Pa, Llc 5201 Pennell Rd Ste A Media PA 19063-6502 Ph: (877) 346-4543 | United Medical Clinic Of Pa, Llc 5201 Pennell Rd Ste A Media PA 19063-6502 Ph: (877) 346-4543 |
| NPI Number | 1629397294 |
|---|---|
| Provider Enumeration Date | 05/21/2010 |
| Last Update Date | 06/30/2020 |
| Medicare PECOS PAC ID | 3072639491 |
|---|---|
| Medicare Enrollment ID | O20100923000082 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629397294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Leemu V Kerkula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639331127 PECOS PAC ID: 6103001060 Enrollment ID: I20110420000035 |
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