| Insight Home Physicians, Pc | |
|
7806 Cresheim Rd Philadelphia PA 19118-4003 | |
| (415) 430-7093 | |
| (215) 565-2662 |
| Full Name | Insight Home Physicians, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7806 Cresheim Rd, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Paul Wallace (OWNER) |
| Authorized Official Contact | 4154307093 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Insight Home Physicians, Pc 3400 Spruce St 5 Maloney Philadelphia PA 19104-4238 Ph: (215) 662-7355 | Insight Home Physicians, Pc 7806 Cresheim Rd Philadelphia PA 19118-4003 Ph: (415) 430-7093 |
| NPI Number | 1215564521 |
|---|---|
| Provider Enumeration Date | 03/25/2020 |
| Last Update Date | 12/22/2020 |
| Medicare PECOS PAC ID | 9830502475 |
|---|---|
| Medicare Enrollment ID | O20201229000095 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215564521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Paul J Wallace |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639287212 PECOS PAC ID: 7810883667 Enrollment ID: I20160831001814 |
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