| Personic Health Pllc | |
|
905 W Sproul Rd Ste 106 Springfield PA 19064-1254 | |
| (215) 709-0254 | |
| Not Available |
| Full Name | Personic Health Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 905 W Sproul Rd Ste 106, Springfield, Pennsylvania |
| Authorized Official Name and Position | Azmat Husain (OWNER) |
| Authorized Official Contact | 2157090254 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Personic Health Pllc 905 W Sproul Rd Ste 106 Springfield PA 19064-1254 Ph: (215) 709-0254 | Personic Health Pllc 905 W Sproul Rd Ste 106 Springfield PA 19064-1254 Ph: (215) 709-0254 |
| NPI Number | 1245953314 |
|---|---|
| Provider Enumeration Date | 09/22/2022 |
| Last Update Date | 09/22/2022 |
| Medicare PECOS PAC ID | 3173990751 |
|---|---|
| Medicare Enrollment ID | O20221111000023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245953314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Kevin P Caputo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255467106 PECOS PAC ID: 0648445999 Enrollment ID: I20120713000267 |
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