| Milltown Family Medicine, Llc | |
|
797 E Lancaster Ave Suite 17 Downingtown PA 19335-3315 | |
| (610) 269-8155 | |
| (610) 269-9557 |
| Full Name | Milltown Family Medicine, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 797 E Lancaster Ave, Downingtown, Pennsylvania |
| Authorized Official Name and Position | Theresa M Davies (OFFICE MANAGER) |
| Authorized Official Contact | 6102698155 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Milltown Family Medicine, Llc 797 E Lancaster Ave Suite 17 Downingtown PA 19335-3315 Ph: (610) 269-8155 | Milltown Family Medicine, Llc 797 E Lancaster Ave Suite 17 Downingtown PA 19335-3315 Ph: (610) 269-8155 |
| NPI Number | 1073640645 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 08/02/2012 |
| Medicare PECOS PAC ID | 8224049002 |
|---|---|
| Medicare Enrollment ID | O20060508000696 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073640645 | NPI | - | NPPES |
| 10107353200001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS012424 (Pennsylvania) | Primary |
| Provider Name | John Nicholas Riccardo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497725709 PECOS PAC ID: 8224097209 Enrollment ID: I20041014000175 |
| Provider Name | Sara A Sperber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427200153 PECOS PAC ID: 3375763915 Enrollment ID: I20141003000404 |
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