| Beaumont Retirement Services, Inc. | |
|
601 N Ithan Ave Bryn Mawr PA 19010-1782 | |
| (610) 526-7000 | |
| (610) 525-0293 |
| Full Name | Beaumont Retirement Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 601 N Ithan Ave, Bryn Mawr, Pennsylvania |
| Authorized Official Name and Position | J. David Mustin (VICE PRESIDENT/FINANCE) |
| Authorized Official Contact | 6105267000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beaumont Retirement Services, Inc. 601 N Ithan Ave Bryn Mawr PA 19010-1782 Ph: (610) 526-7000 | Beaumont Retirement Services, Inc. 601 N Ithan Ave Bryn Mawr PA 19010-1782 Ph: (610) 526-7000 |
| NPI Number | 1346498532 |
|---|---|
| Provider Enumeration Date | 09/03/2008 |
| Last Update Date | 12/23/2008 |
| Medicare PECOS PAC ID | 3678632940 |
|---|---|
| Medicare Enrollment ID | O20081223000024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346498532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 849466 (Pennsylvania) | Primary |
| Provider Name | Elizabeth N Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376778340 PECOS PAC ID: 0446393995 Enrollment ID: I20100205000038 |
| Provider Name | Ryan B Sholinsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922544923 PECOS PAC ID: 3173807138 Enrollment ID: I20170313000309 |
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