Urban Community Physician Advisory Board Llc | |
722 Church Ln Yeadon PA 19050-3503 | |
(610) 622-9953 | |
(610) 284-6540 |
Full Name | Urban Community Physician Advisory Board Llc |
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Speciality | Clinic/Center |
Location | 722 Church Ln, Yeadon, Pennsylvania |
Authorized Official Name and Position | Michael W Milbourne (PRESIDENT) |
Authorized Official Contact | 2159661546 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Urban Community Physician Advisory Board Llc 722 Church Ln Yeadon PA 19050-3503 Ph: (610) 622-9953 | Urban Community Physician Advisory Board Llc 722 Church Ln Yeadon PA 19050-3503 Ph: (610) 622-9953 |
NPI Number | 1003206608 |
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Provider Enumeration Date | 02/03/2015 |
Last Update Date | 03/18/2024 |
Medicare PECOS PAC ID | 0941527865 |
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Medicare Enrollment ID | O20150402000273 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003206608 | NPI | - | NPPES |
10397151001 | Medicaid | PA |
Provider Name | Michael W Milbourne |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1255399366 PECOS PAC ID: 7113829938 Enrollment ID: I20040122000896 |
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