| Xiaoli Ma, Pc | |
|
121 N 9th St Philadelphia PA 19107-2410 | |
| (215) 629-8866 | |
| (215) 629-8867 |
| Full Name | Xiaoli Ma, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 121 N 9th St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Xiaoli Ma (PRESIDENT) |
| Authorized Official Contact | 2156298866 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Xiaoli Ma, Pc 405 Dartmouth Rd Bryn Mawr PA 19010-2123 Ph: (484) 686-7779 | Xiaoli Ma, Pc 121 N 9th St Philadelphia PA 19107-2410 Ph: (215) 629-8866 |
| NPI Number | 1659407328 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 07/23/2011 |
| Medicare PECOS PAC ID | 6103925912 |
|---|---|
| Medicare Enrollment ID | O20070620000061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659407328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | MD065188L (Pennsylvania) | Primary |
| Provider Name | Xiaoli Ma |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558300152 PECOS PAC ID: 0547265266 Enrollment ID: I20061002000015 |
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