| Walter Clark Hargrove, MD | |
|
599 W State St Ste 207, Doylestown, PA 18901-2567 | |
| (215) 345-2100 | |
| (215) 345-2110 |
| Full Name | Walter Clark Hargrove |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
| Location | 599 W State St Ste 207, Doylestown, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437180122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | MD015427E (Pennsylvania) | Primary |
| Entity Name | Via Affiliates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003446261 PECOS PAC ID: 1759295512 Enrollment ID: O20031117000104 |
| Entity Name | University Of Penn - Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235527342 PECOS PAC ID: 6204730955 Enrollment ID: O20141111000091 |
| Mailing Address | Practice Location Address |
|---|---|
| Walter Clark Hargrove, MD Po Box 829641, Philadelphia, PA 19182-9641 Ph: (267) 370-5296 | Walter Clark Hargrove, MD 599 W State St Ste 207, Doylestown, PA 18901-2567 Ph: (215) 345-2100 |
Anthony Tran, M.B.B.CH., M.S. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 599 W State St Ste 207, Doylestown, PA 18901 Phone: 215-345-2100 | |
James B Mcclurken, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 595 W State St, Doylestown, PA 18901 Phone: 215-345-2100 Fax: 215-345-2110 |