| Holistic Family Medicine Pc | |
|
2017 Montgomery Ave Villanova PA 19085-1818 | |
| (610) 525-5254 | |
| Not Available |
| Full Name | Holistic Family Medicine Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2017 Montgomery Ave, Villanova, Pennsylvania |
| Authorized Official Name and Position | Lisa Freedman (PRESIDENT) |
| Authorized Official Contact | 6105255254 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Family Medicine Pc 2017 Montgomery Ave Villanova PA 19085-1818 Ph: () - | Holistic Family Medicine Pc 2017 Montgomery Ave Villanova PA 19085-1818 Ph: (610) 525-5254 |
| NPI Number | 1780631499 |
|---|---|
| Provider Enumeration Date | 05/28/2006 |
| Last Update Date | 03/31/2014 |
| Medicare PECOS PAC ID | 3476545336 |
|---|---|
| Medicare Enrollment ID | O20040331001172 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780631499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Lisa B Freedman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073571626 PECOS PAC ID: 0749175396 Enrollment ID: I20040220000934 |
Mcshane Sports Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 734 E Lancaster Ave, Villanova, PA 19085 Phone: 610-254-8001 Fax: 610-254-0911 |