Andrew L So, MD | |
8835 Germantown Ave, Philadelphia, PA 19118-2718 | |
(302) 224-5678 | |
(302) 224-2848 |
Full Name | Andrew L So |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 45 Years |
Location | 8835 Germantown Ave, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720148802 | NPI | - | NPPES |
001248529 0001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | MD041550E (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Chestnut Hill Hospital | Philadelphia, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Temple Faculty Practice Plan Inc | 0345588711 | 1063 |
Entity Name | C H Pathology Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760542849 PECOS PAC ID: 4587642368 Enrollment ID: O20040708001195 |
Entity Name | Temple Faculty Practice Plan Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881176949 PECOS PAC ID: 0345588711 Enrollment ID: O20190208002623 |
Mailing Address | Practice Location Address |
---|---|
Andrew L So, MD Po Box 27189, Philadelphia, PA 19118-0189 Ph: (302) 224-5678 | Andrew L So, MD 8835 Germantown Ave, Philadelphia, PA 19118-2718 Ph: (302) 224-5678 |
Jason Nathaniel Rosenbaum, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 800 Spruce St, Philadelphia, PA 19107 Phone: 215-829-3000 Fax: 215-829-7564 | |
Donghwa Baek, Pathology Medicare: Not Enrolled in Medicare Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-316-5151 | |
Dr. Vivianna Maia Van Deerlin, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce Street, 7.103 Founders Pavillion, Philadelphia, PA 19104 Phone: 215-662-6550 Fax: 215-662-7529 | |
Zissimos Mourelatos, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 800 Spruce St, Philadelphia, PA 19107 Phone: 215-829-3000 Fax: 215-829-7564 | |
Mariusz A Wasik, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 333 Cottman Ave, Philadelphia, PA 19111 Phone: 215-728-3675 Fax: 215-728-2848 | |
Adrienne Catharine Carruth Griffin, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 3400 Spruce St, 1 Maloney Building, Philadelphia, PA 19104 Phone: 215-662-4829 | |
Tirumala Lakshmi Kumari Pentakota, M.D Pathology Medicare: Not Enrolled in Medicare Practice Location: 245 N 15th St, Mail Stop 435, Philadelphia, PA 19102 Phone: 215-762-1179 |