Douglas Stanley Holsclaw Jr, MD | |
42 Llanberris Rd, Bala Cynwyd, PA 19004-2403 | |
(610) 664-3712 | |
Not Available |
Full Name | Douglas Stanley Holsclaw Jr |
---|---|
Gender | Male |
Speciality | Internal Medicine - Pulmonary Disease |
Location | 42 Llanberris Rd, Bala Cynwyd, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629037437 | NPI | - | NPPES |
099759 | Other | PA | BLUE SHIELD |
0006732510013 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RP1001X | Internal Medicine - Pulmonary Disease | MD012316E (Pennsylvania) | Primary |
2080P0214X | Pediatrics - Pediatric Pulmonology | MD012316E (Pennsylvania) | Secondary |
Entity Name | University Of Penn - Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003923707 PECOS PAC ID: 6204730955 Enrollment ID: O20141216000111 |
Mailing Address | Practice Location Address |
---|---|
Douglas Stanley Holsclaw Jr, MD 42 Llanberris Rd, Bala Cynwyd, PA 19004-2403 Ph: (610) 664-3712 | Douglas Stanley Holsclaw Jr, MD 42 Llanberris Rd, Bala Cynwyd, PA 19004-2403 Ph: (610) 664-3712 |
Marjorie Friedman, Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 225 E City Ave Ste 109, Bala Cynwyd, PA 19004 Phone: 215-503-3838 | |
Dr. Jonathan L. Gelfand, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 205 Rhyle Ln, Bala Cynwyd, PA 19004 Phone: 215-805-5413 Fax: 610-672-9532 | |
Timothy A Woods, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 333 E City Ave, Suite Il -40, Bala Cynwyd, PA 19004 Phone: 610-664-1977 Fax: 610-667-6052 | |
Daniel H. Parish, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 50 Monument Road, Third Floor Suite 301, Bala Cynwyd, PA 19004 Phone: 610-668-2570 Fax: 610-668-2808 | |
Dr. Robert Weiss, M D Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: Total Access Medical, 191 Presidential Blvd C135, Bala Cynwyd, PA 19004 Phone: 610-667-7203 Fax: 610-667-0447 | |
Alexandra Marie Ristow, M.D. Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 150 Monument Rd Ste 500, Bala Cynwyd, PA 19004 Phone: 855-478-8208 | |
Dr. Mary Van Den Berg-wolf, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 225 E City Ave, Suite 109, Bala Cynwyd, PA 19004 Phone: 215-503-3838 |