| Wissinoming Medical Associates Pc | |
|
6122 Torresdale Ave Philadelphia PA 19135-3718 | |
| (215) 338-6677 | |
| (215) 338-9935 |
| Full Name | Wissinoming Medical Associates Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 6122 Torresdale Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Mitchell A Schwartzman (PHYSICIAN) |
| Authorized Official Contact | 2153386677 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wissinoming Medical Associates Pc 6122 Torresdale Ave Philadelphia PA 19135-3718 Ph: (215) 338-6677 | Wissinoming Medical Associates Pc 6122 Torresdale Ave Philadelphia PA 19135-3718 Ph: (215) 338-6677 |
| NPI Number | 1487609210 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 12/11/2012 |
| Medicare PECOS PAC ID | 2163407610 |
|---|---|
| Medicare Enrollment ID | O20040621000486 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487609210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS003680L (Pennsylvania) | Primary |
| Provider Name | Sarwat Jahan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770707473 PECOS PAC ID: 9931012424 Enrollment ID: I20031111000137 |
| Provider Name | Haytham Albizem |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1467442285 PECOS PAC ID: 1658304696 Enrollment ID: I20080804000127 |
| Provider Name | Celsus I Ebba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114055027 PECOS PAC ID: 7416102595 Enrollment ID: I20130220000366 |
| Provider Name | Annie R Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205101623 PECOS PAC ID: 1759546211 Enrollment ID: I20180628000329 |
| Provider Name | Henry Quevedo Diaz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679708374 PECOS PAC ID: 8325337686 Enrollment ID: I20190930000068 |
| Provider Name | Deepali Mathur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497308753 PECOS PAC ID: 5597191965 Enrollment ID: I20200203001154 |
| Provider Name | Kumba G Komba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639738610 PECOS PAC ID: 7214368018 Enrollment ID: I20200512000149 |
| Provider Name | Emily Scaruzzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225644107 PECOS PAC ID: 5496165052 Enrollment ID: I20201110002444 |
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