| Feasterville Family Practice | |
|
523 Bustleton Pike Feasterville Trevose PA 19053-6051 | |
| (215) 355-7900 | |
| (215) 355-9005 |
| Full Name | Feasterville Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 523 Bustleton Pike, Feasterville Trevose, Pennsylvania |
| Authorized Official Name and Position | John Z Mcdonald (OWNER/PHYSICIAN) |
| Authorized Official Contact | 2153557900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Feasterville Family Practice 523 Bustleton Pike Feasterville Trevose PA 19053-6051 Ph: (215) 355-7900 | Feasterville Family Practice 523 Bustleton Pike Feasterville Trevose PA 19053-6051 Ph: (215) 355-7900 |
| NPI Number | 1053356477 |
|---|---|
| Provider Enumeration Date | 06/19/2006 |
| Last Update Date | 11/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053356477 | NPI | - | NPPES |
| 0009046530002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS004867L (Pennsylvania) | Secondary |
| 207Q00000X | Family Medicine | OS010843L (Pennsylvania) | Primary |
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