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Organization

NE PHYSICIAN SERVICES INC

Active
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Organization

NE PHYSICIAN SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIANE DEPMAN (OFFICE ADMINISTRATOR)
(215) 333-6888
Entity
Organization

Contact information

Practice address
10400 ROOSEVELT BLVD, PHILADELPHIA, PA 19116-3905
(215) 333-6888
Mailing address
3542 WELSH RD, PHILADELPHIA, PA 19136-2623

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0097905013
INDEPENDENCE BLUE CROSS
PA
Enumeration date
05/14/2008
Last updated
05/14/2008
About Stedi
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