| Philly Medical And Rehab Associates | |
|
6401 Rising Sun Ave Philadelphia PA 19111-5228 | |
| (215) 535-5616 | |
| (215) 535-5618 |
| Full Name | Philly Medical And Rehab Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 6401 Rising Sun Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Paul M Kosmorsky (OWNER) |
| Authorized Official Contact | 2154884999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Philly Medical And Rehab Associates 6401 Rising Sun Ave Philadelphia PA 19111-5228 Ph: (215) 535-5616 | Philly Medical And Rehab Associates 6401 Rising Sun Ave Philadelphia PA 19111-5228 Ph: (215) 535-5616 |
| NPI Number | 1376046508 |
|---|---|
| Provider Enumeration Date | 03/14/2018 |
| Last Update Date | 07/06/2020 |
| Medicare PECOS PAC ID | 7416295845 |
|---|---|
| Medicare Enrollment ID | O20190211001608 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376046508 | NPI | - | NPPES |
| F27707 | Other | UPIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS007133L (Pennsylvania) | Primary |
| Provider Name | Paul M Kosmorsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518921691 PECOS PAC ID: 8325191638 Enrollment ID: I20110526000097 |
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