| Richard M. Sobel M.d. Llc | |
|
1245 N Providence Rd Media PA 19063-1210 | |
| (215) 731-1901 | |
| (215) 731-9503 |
| Full Name | Richard M. Sobel M.d. Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1245 N Providence Rd, Media, Pennsylvania |
| Authorized Official Name and Position | Richard M Sobel (OWNER) |
| Authorized Official Contact | 2157311901 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard M. Sobel M.d. Llc 5565 N Barrasca Ave Tucson AZ 85750-6495 Ph: (215) 731-1901 | Richard M. Sobel M.d. Llc 1245 N Providence Rd Media PA 19063-1210 Ph: (215) 731-1901 |
| NPI Number | 1215136395 |
|---|---|
| Provider Enumeration Date | 07/17/2007 |
| Last Update Date | 08/23/2022 |
| Certification Date | 08/23/2022 |
| Medicare PECOS PAC ID | 9234210881 |
|---|---|
| Medicare Enrollment ID | O20080122000036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215136395 | NPI | - | NPPES |
| 1700808003 | Other | PA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD035260E (Pennsylvania) | Primary |
| Provider Name | Richard Sobel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700808003 PECOS PAC ID: 2163503061 Enrollment ID: I20080117000049 |
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