| Frederick Gmora, DO | |
|
10800 Knights Rd, Philadelphia, PA 19114-4200 | |
| (856) 566-6875 | |
| Not Available |
| Full Name | Frederick Gmora |
|---|---|
| Gender | Male |
| Speciality | Critical Care (intensivists) |
| Experience | 12 Years |
| Location | 10800 Knights Rd, 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 |
|---|---|---|---|
| 1366874372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0102X | Surgery - Surgical Critical Care | 25MB12090100 (New Jersey) | Secondary |
| 207P00000X | Emergency Medicine | OS020406 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jefferson Stratford Hospital | Stratford, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kennedy Medical Group Practice, P.c. | 2860616877 | 350 |
| Entity Name | Kennedy Medical Group Practice, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952726796 PECOS PAC ID: 2860616877 Enrollment ID: O20140613000689 |
| Mailing Address | Practice Location Address |
|---|---|
| Frederick Gmora, DO 10800 Knights Rd, Philadelphia, PA 19114-4200 Ph: () - | Frederick Gmora, DO 10800 Knights Rd, Philadelphia, PA 19114-4200 Ph: (856) 566-6875 |
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