| Elefant Galante Pc | |
|
9501 Roosevelt Blvd Suite 312 Philadelphia PA 19114 | |
| (215) 673-7070 | |
| (215) 673-2828 |
| Full Name | Elefant Galante Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9501 Roosevelt Blvd, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Lisa Galante (PRESIDENT) |
| Authorized Official Contact | 2156737070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elefant Galante Pc 9501 Roosevelt Blvd Suite 312 Philadelphia PA 19114 Ph: (215) 673-7070 | Elefant Galante Pc 9501 Roosevelt Blvd Suite 312 Philadelphia PA 19114 Ph: (215) 673-7070 |
| NPI Number | 1760490106 |
|---|---|
| Provider Enumeration Date | 08/03/2006 |
| Last Update Date | 10/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760490106 | NPI | - | NPPES |
| 0006402320003 | Medicaid | PA | |
| 0054112001 | Other | IBC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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