| Pediatric Care Group, P.c. | |
|
261 Old York Road Suite 620 Jenkintown PA 19046 | |
| (215) 885-8700 | |
| (215) 885-8795 |
| Full Name | Pediatric Care Group, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 261 Old York Road, Jenkintown, Pennsylvania |
| Authorized Official Name and Position | Marylee Mundell (MANAGING PHYSICIAN) |
| Authorized Official Contact | 2158858700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Care Group, P.c. 261 Old York Road Suite 620 Jenkintown PA 19046 Ph: (215) 885-8700 | Pediatric Care Group, P.c. 261 Old York Road Suite 620 Jenkintown PA 19046 Ph: (215) 885-8700 |
| NPI Number | 1093129157 |
|---|---|
| Provider Enumeration Date | 06/17/2014 |
| Last Update Date | 06/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093129157 | NPI | - | NPPES |
| 1013372830001 | Medicaid | PA | |
| 1497162 | Other | PA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Pennsylvania) | Primary |
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