| Haverford Family Medicine | |
|
600 Haverford Rd Suite 205 Haverford PA 19041-1139 | |
| (610) 649-6400 | |
| Not Available |
| Full Name | Haverford Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 600 Haverford Rd, Haverford, Pennsylvania |
| Authorized Official Name and Position | Brian W Bullock (PRESIDENT) |
| Authorized Official Contact | 6106496400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Haverford Family Medicine 600 Haverford Rd Suite 205 Haverford PA 19041-1139 Ph: (610) 649-6400 | Haverford Family Medicine 600 Haverford Rd Suite 205 Haverford PA 19041-1139 Ph: (610) 649-6400 |
| NPI Number | 1851492474 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 06/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851492474 | NPI | - | NPPES |
| 1209404 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD040154L (Pennsylvania) | Primary |
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