| Cardiology Consultants Of Greater Philadelphia Pc | |
|
10752 Bustleton Ave Suite G Philadelphia PA 19116-3367 | |
| (267) 307-9236 | |
| Not Available |
| Full Name | Cardiology Consultants Of Greater Philadelphia Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10752 Bustleton Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Irina M Joukova (OWNER) |
| Authorized Official Contact | 2673079236 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cardiology Consultants Of Greater Philadelphia Pc 1420 Locust St Apt. 23p Philadelphia PA 19102-4223 Ph: (267) 307-9236 | Cardiology Consultants Of Greater Philadelphia Pc 10752 Bustleton Ave Suite G Philadelphia PA 19116-3367 Ph: (267) 307-9236 |
| NPI Number | 1023356144 |
|---|---|
| Provider Enumeration Date | 01/24/2013 |
| Last Update Date | 03/28/2013 |
| Medicare PECOS PAC ID | 9739324286 |
|---|---|
| Medicare Enrollment ID | O20130404000041 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023356144 | NPI | - | NPPES |
| 102431691 0001 | Medicaid | PA |
| Provider Name | Irina M Joukova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972768794 PECOS PAC ID: 5395874374 Enrollment ID: I20100601000443 |
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