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Organization
NE PHYSICIAN SERVICES INC
Active
Organization
NE PHYSICIAN SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY T DEPMAN MD (DIRECTOR)
(215) 333-6888
Entity
Organization
Contact information
Practice address
3542 WELSH RD, NE PHYSICIAN SERVICES INC, PHILADELPHIA, PA 19136-2623
(215) 333-6888
(215) 333-3945
Mailing address
3542 WELSH RD, NE PHYSICIAN SERVICES INC, PHILADELPHIA, PA 19136-2623
(215) 333-6888
(215) 333-3945
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011250730009
—
PA
01
—
0097905000
PERSONAL CHOICE
PA
01
—
30000255
KEYSTONE MERCY
PA
01
—
405091
BS
PA
01
—
CH4674
RR MEDICARE
—
Enumeration date
04/24/2006
Last updated
09/06/2007
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