| Detweiler Family Medicine & Asso | |
|
1970 North Broad Street Lansdale PA 19446 | |
| (215) 368-1900 | |
| (215) 368-8772 |
| Full Name | Detweiler Family Medicine & Asso |
|---|---|
| Speciality | Family Medicine |
| Location | 1970 North Broad Street, Lansdale, Pennsylvania |
| Authorized Official Name and Position | Robert O Detweiler (PRESIDENT) |
| Authorized Official Contact | 2158681900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Detweiler Family Medicine & Asso 1970 North Broad Street Lansdale PA 19446 Ph: (215) 368-1900 | Detweiler Family Medicine & Asso 1970 North Broad Street Lansdale PA 19446 Ph: (215) 368-1900 |
| NPI Number | 1134195688 |
|---|---|
| Provider Enumeration Date | 02/24/2006 |
| Last Update Date | 05/13/2010 |
| Medicare PECOS PAC ID | 0840278230 |
|---|---|
| Medicare Enrollment ID | O20040712001030 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134195688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 332900000X | Non-pharmacy Dispensing Site | (* (Not Available)) | Secondary |
| Provider Name | Evan Kessler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164428645 PECOS PAC ID: 5991606386 Enrollment ID: I20040119000271 |
| Provider Name | Robert O Detweiler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790751246 PECOS PAC ID: 8628170669 Enrollment ID: I20110204000307 |
| Provider Name | Laura Baptista |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538810064 PECOS PAC ID: 7911392063 Enrollment ID: I20220328001211 |
| Provider Name | Clare Alyse Rech |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881258242 PECOS PAC ID: 2163752627 Enrollment ID: I20220930000090 |
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