| Family Medicine, Geriatrics & Wellness | |
|
714 N Bethlehem Pike Ste 101 Lower Gwynedd PA 19002-2655 | |
| (215) 540-4411 | |
| (215) 540-4415 |
| Full Name | Family Medicine, Geriatrics & Wellness |
|---|---|
| Speciality | Family Medicine |
| Location | 714 N Bethlehem Pike, Lower Gwynedd, Pennsylvania |
| Authorized Official Name and Position | Joseph F Mambu (PRESIDENT) |
| Authorized Official Contact | 2155404411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine, Geriatrics & Wellness 714 N Bethlehem Pike Ste 101 Lower Gwynedd PA 19002-2655 Ph: (215) 540-4411 | Family Medicine, Geriatrics & Wellness 714 N Bethlehem Pike Ste 101 Lower Gwynedd PA 19002-2655 Ph: (215) 540-4411 |
| NPI Number | 1851397731 |
|---|---|
| Provider Enumeration Date | 06/24/2005 |
| Last Update Date | 06/19/2008 |
| Medicare PECOS PAC ID | 7719899848 |
|---|---|
| Medicare Enrollment ID | O20031105000557 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851397731 | NPI | - | NPPES |
| 0864515001 | Other | PA | BCBS-PA KEYSTONE |
| 921651 | Other | PA | BCBS-PA HIGHMARK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | MD017725E (Pennsylvania) | Primary |
| Provider Name | Joseph F Mambu |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1518961408 PECOS PAC ID: 3779495817 Enrollment ID: I20031121000243 |
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