| Gvmp Specialty Associates | |
|
915 Lawn Ave Sellersville PA 18960-1551 | |
| (215) 257-3700 | |
| (215) 257-0360 |
| Full Name | Gvmp Specialty Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 915 Lawn Ave, Sellersville, Pennsylvania |
| Authorized Official Name and Position | Arthur Anderson (CFO) |
| Authorized Official Contact | 2154534120 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gvmp Specialty Associates Po Box 358 Souderton PA 18964-0358 Ph: (215) 257-3700 | Gvmp Specialty Associates 915 Lawn Ave Sellersville PA 18960-1551 Ph: (215) 257-3700 |
| NPI Number | 1477037877 |
|---|---|
| Provider Enumeration Date | 09/20/2018 |
| Last Update Date | 08/02/2023 |
| Medicare PECOS PAC ID | 8022001924 |
|---|---|
| Medicare Enrollment ID | O20190103000983 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477037877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
| Provider Name | Fidel Dale M Bautista |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114112067 PECOS PAC ID: 4981767183 Enrollment ID: I20090114000636 |
| Provider Name | Ilana Zeises |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134508658 PECOS PAC ID: 9638482888 Enrollment ID: I20191003001357 |
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