Unknown Individual – Emergency Medicine Physician, NPI 1104085547
Emergency Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
3998, Red Lion Road, Crestmont Farms, Philadelphia, Philadelphia County, Pennsylvania, 19114, United States
PHILADELPHIA, PA 191141436
Phone: (215) 612-4000
Mailing address matches the actual address.
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
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 19114)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| General Surgery | PA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | PA | |
| - | PA | |
| - | PA | |
| - | PA | |
| E N D O C R I N O L O G Y | PA | |
| Emergency Medicine | PA | |
| U R O L O G Y | SC | |
| - | PA |
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