| Clinical Care Associates Of The University Of Pennsylvania Health Syst | |
|
150 Monument Rd Fl 4 Bala Cynwyd PA 19004-1702 | |
| (610) 239-2871 | |
| (610) 239-2885 |
| Full Name | Clinical Care Associates Of The University Of Pennsylvania Health Syst |
|---|---|
| Speciality | Hospitalist |
| Location | 150 Monument Rd Fl 4, Bala Cynwyd, Pennsylvania |
| Authorized Official Name and Position | Chante L Jackson (ENROLLMENT LEAD) |
| Authorized Official Contact | 2156626187 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinical Care Associates Of The University Of Pennsylvania Health Syst 150 Monument Rd Fl 4 Bala Cynwyd PA 19004-1702 Ph: (610) 239-2871 | Clinical Care Associates Of The University Of Pennsylvania Health Syst 150 Monument Rd Fl 4 Bala Cynwyd PA 19004-1702 Ph: (610) 239-2871 |
| NPI Number | 1790737468 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 08/09/2023 |
| Certification Date | 08/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790737468 | NPI | - | NPPES |
| 1343994 | Other | PA | BLUE SHIELD |
| 428207 | Other | PA | BLUE SHIELD |
| 100730664 | Medicaid | PA |
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