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Organization

GENERAL MEDICAL & REHABILITATION ASSOCIATES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BORIS NEMIROVSKY MD (MEDICAL DIRECTOR)
(215) 698-2220
Entity
Organization

Contact information

Practice address
9551 BUSTLETON AVENUE, 2ND FLOOR, PHILADELPHIA, PA 19115-3800
(215) 698-2220
(215) 464-1808
Mailing address
9551 BUSTLETON AVENUE, 2ND FLOOR, PHILADELPHIA, PA 19115-3800
(215) 698-2220
(215) 464-1808

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0010005980001
DPA
01
0058439000
KHPE KH65 AMERIHEALTH HMO
01
0100059801
AMERICHOICE
01
0567260001
MEDICARE DME
PA
01
0876682
AETNA HMO
PA
01
098916T50
MEDICARE PIN
01
1013277410001
DPA GROUP
05
1013277410001
PA
01
1048941
KEYSTONE MERCY
01
1702545
HIGHMARCK BCBS
PA
01
2374620000
KHPE KH65 AMERIHEALTH HMO
01
249697
HEALTH NET
01
5444501
AETNA PPO
PA
01
98916
HIGHMARCK BCBS PIN
01
P11221508
MULTIPLAN HEALTH EOS
01
P2784771
OXFORD HEALTH PLAN
Enumeration date
08/31/2006
Last updated
02/28/2013
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