| Victory Primary Care Llc | |
|
100 E Lancaster Ave Med Off Bldg West Ste 432 Wynnewood PA 19096-3450 | |
| (610) 896-7172 | |
| (610) 642-2693 |
| Full Name | Victory Primary Care Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 E Lancaster Ave, Wynnewood, Pennsylvania |
| Authorized Official Name and Position | Lisa Ann Sardanopoli (PHYSICIAN) |
| Authorized Official Contact | 6105803794 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Victory Primary Care Llc 364 Saunders Dr Wayne PA 19087-5407 Ph: (610) 580-3794 | Victory Primary Care Llc 100 E Lancaster Ave Med Off Bldg West Ste 432 Wynnewood PA 19096-3450 Ph: (610) 896-7172 |
| NPI Number | 1679923627 |
|---|---|
| Provider Enumeration Date | 06/20/2016 |
| Last Update Date | 09/22/2016 |
| Medicare PECOS PAC ID | 8022306984 |
|---|---|
| Medicare Enrollment ID | O20161007001279 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679923627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD073683L (Pennsylvania) | Primary |
| Provider Name | Lisa A Sardanopoli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164493300 PECOS PAC ID: 2062538499 Enrollment ID: I20100923000220 |
William R Schetman Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 E Lancaster Ave, Ste 461 East, Wynnewood, PA 19096 Phone: 610-649-6100 Fax: 610-649-5700 | |
Pradeep Lothe Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 East Lancaster Avenue, Wynnewood House , Suite 105a, Wynnewood, PA 19096 Phone: 610-649-3040 Fax: 610-645-0754 | |
Endeavor Health Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 E Lancaster Ave # Mobe353, Wynnewood, PA 19096 Phone: 215-880-7342 Fax: 215-318-5050 | |
Daniel C Lazowick Do Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 E Lancaster Ave, Suite 461 East, Wynnewood, PA 19096 Phone: 610-649-6100 Fax: 610-649-5700 | |
Deebeanne M Tavani Do Phd Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 E Lancaster Ave, Mob East Suite 453e, Wynnewood, PA 19096 Phone: 610-896-5170 Fax: 610-896-5640 | |
Murray L. Dorfman, Md,pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 City Ave, Suite Wa 105, Wynnewood, PA 19096 Phone: 610-649-5667 Fax: 610-649-8543 | |
Clarke & Gardner Internal Medicine Associates Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 300 E Lancaster Ave Ste 100, Wynnewood, PA 19096 Phone: 610-649-3456 Fax: 610-642-1740 |