| Balmont Family Practice | |
|
5008 Baltimore Ave Suite A Philadelphia PA 19143-3302 | |
| (215) 764-8520 | |
| (215) 764-8521 |
| Full Name | Balmont Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 5008 Baltimore Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Terrence Michael Curley (FAMILY PHYSICIAN) |
| Authorized Official Contact | 2157648520 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Balmont Family Practice 5008 Baltimore Ave Suite A Philadelphia PA 19143-3302 Ph: (215) 764-8520 | Balmont Family Practice 5008 Baltimore Ave Suite A Philadelphia PA 19143-3302 Ph: (215) 764-8520 |
| NPI Number | 1780806422 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 05/19/2008 |
| Medicare PECOS PAC ID | 3173503182 |
|---|---|
| Medicare Enrollment ID | O20040721000876 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780806422 | NPI | - | NPPES |
| 000489382 | Other | PA | IBC BLUE SHIELD ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS007190L (Pennsylvania) | Primary |
| Provider Name | Tara S Major |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659678464 PECOS PAC ID: 9931386612 Enrollment ID: I20110606000658 |
| Provider Name | Terrence Curley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700971058 PECOS PAC ID: 6608035423 Enrollment ID: I20120313000896 |
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