Unknown Individual – Cardiovascular Disease Physician, NPI 1083662464
Cardiovascular Disease Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
1722 Bethlehem Pike
Flourtown, PA 190311644
Phone: (215) 233-9700
Fax: (215) 233-9710
Type: Location
2450, West Hunting Park Avenue, Tioga, Philadelphia, Philadelphia County, Pennsylvania, 19129, United States
PHILADELPHIA, PA 19129
Phone: (215) 707-8484
Fax: (215) 707-3946
Type: Mailing
3509, North Broad Street, North Philadelphia, Philadelphia, Philadelphia County, Pennsylvania, 19140, United States
PHILADELPHIA, PA 191401644
Phone: (215) 707-8484
Fax: (215) 707-3946
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 19031)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | PA | |
| Family Practice | PA | |
| Internal Medicine | PA | |
| Internal Medicine, Endocrinology | PA | |
| Family Practice | PA | |
| Nurse Practitioner | PA | |
| Geriatric Medicine, Family Practice | PA | |
| - | PA | |
| - | PA | |
| Internal Medicine | PA |
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