| Moca Orso Llc | |
|
4007 Skippack Pike Skippack PA 19474-0196 | |
| (610) 584-7284 | |
| Not Available |
| Full Name | Moca Orso Llc |
|---|---|
| Speciality | Clinic/center - Health Service |
| Location | 4007 Skippack Pike, Skippack, Pennsylvania |
| Authorized Official Name and Position | Gregory Bolton (OWNER) |
| Authorized Official Contact | 4125991039 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moca Orso Llc 952 N 3rd St Apt 601 Philadelphia PA 19123 Ph: (412) 599-1039 | Moca Orso Llc 4007 Skippack Pike Skippack PA 19474-0196 Ph: (610) 584-7284 |
| NPI Number | 1699259655 |
|---|---|
| Provider Enumeration Date | 09/17/2018 |
| Last Update Date | 06/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699259655 | NPI | - | NPPES |
| 001707640 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Primary |
Amin Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3887 Skippack Pike, Skippack, PA 19474 Phone: 610-584-1663 Fax: 610-584-5188 | |
Amin Medical Center Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3887 Skippack Pike, Skippack, PA 19474 Phone: 610-584-1663 Fax: 610-584-5188 |