| Eastwick Primary Care | |
|
2801 Island Rd Suite 10 11 Phila PA 19153-2326 | |
| (215) 492-8800 | |
| (215) 492-6421 |
| Full Name | Eastwick Primary Care |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2801 Island Rd, Phila, Pennsylvania |
| Authorized Official Name and Position | Joyce M Fox (OFFICE MANAGER) |
| Authorized Official Contact | 2154928800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastwick Primary Care 2801 Island Ave Suite 10 11 Phila PA 19153-2326 Ph: (215) 492-8800 | Eastwick Primary Care 2801 Island Rd Suite 10 11 Phila PA 19153-2326 Ph: (215) 492-8800 |
| NPI Number | 1760580773 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 05/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760580773 | NPI | - | NPPES |
| 144292 | Other | PA | BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MD024544L (Pennsylvania) | Primary |
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