| Mmsepa P Pcp Chestnut Office | |
|
5630 Chestnut St Philadelphia PA 19139 | |
| (215) 748-3100 | |
| Not Available |
| Full Name | Mmsepa P Pcp Chestnut Office |
|---|---|
| Speciality | Family Medicine |
| Location | 5630 Chestnut St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Beth Hopkins (DIRECTOR BILLING) |
| Authorized Official Contact | 6105675239 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mmsepa P Pcp Chestnut Office 1 W Elm St Conshohocken PA 19428-4108 Ph: (610) 567-6964 | Mmsepa P Pcp Chestnut Office 5630 Chestnut St Philadelphia PA 19139 Ph: (215) 748-3100 |
| NPI Number | 1265956973 |
|---|---|
| Provider Enumeration Date | 08/03/2017 |
| Last Update Date | 06/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265956973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Pennsylvania) | Secondary |
| 207Q00000X | Family Medicine | (Pennsylvania) | Primary |
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