| Northwestern Medical Associates Pc | |
|
7170 Lafayette Ave Fort Washington PA 19034-2301 | |
| (215) 641-5300 | |
| Not Available |
| Full Name | Northwestern Medical Associates Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7170 Lafayette Ave, Fort Washington, Pennsylvania |
| Authorized Official Name and Position | Richard Jay Leavitt (PRESIDENT) |
| Authorized Official Contact | 2155424343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwestern Medical Associates Pc 589 Skippack Pike Suite 308 Blue Bell PA 19422-2159 Ph: (215) 542-4343 | Northwestern Medical Associates Pc 7170 Lafayette Ave Fort Washington PA 19034-2301 Ph: (215) 641-5300 |
| NPI Number | 1407806003 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407806003 | NPI | - | NPPES |
| 0015622660005 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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