| Liberty Medical Group Pc | |
|
6200 Frankford Ave Philadelphia PA 19135-3405 | |
| (215) 535-2121 | |
| (215) 535-2860 |
| Full Name | Liberty Medical Group Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 6200 Frankford Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Neil P Glickman (PRESIDENT) |
| Authorized Official Contact | 2155352121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liberty Medical Group Pc 6200 Frankford Ave Philadelphia PA 19135-3405 Ph: (215) 535-2121 | Liberty Medical Group Pc 6200 Frankford Ave Philadelphia PA 19135-3405 Ph: (215) 535-2121 |
| NPI Number | 1972792257 |
|---|---|
| Provider Enumeration Date | 10/23/2007 |
| Last Update Date | 11/01/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972792257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS002144L (Pennsylvania) | Primary |
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