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Organization
WOODBOURNE FAMILY PRACTICE, L.L.C.
Active
Organization
WOODBOURNE FAMILY PRACTICE, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD H GOLDHAMMER D.O. (PRESIDENT)
(215) 945-1500
Entity
Organization
Contact information
Practice address
1609 WOODBOURNE RD, SUITE 101, LEVITTOWN, PA 19057-1500
(215) 945-1500
(215) 945-9192
Mailing address
1609 WOODBOURNE RD, SUITE 101, LEVITTOWN, PA 19057-1500
(215) 945-1500
(215) 945-9192
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017214600002
—
PA
01
—
0036
AETNA USHC HMO
PA
01
—
0263375002
CIGNA
PA
01
—
1026402
KEYSTONE MERCY
PA
01
—
118864300
U.S. DEPARTMENT OF LABOR
PA
01
—
1509982
UMWA
PA
01
—
CI1444
MEDICARE TRAVELERS
PA
Enumeration date
01/18/2006
Last updated
10/21/2009
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