Organization
DR. HOUSE CALL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA A PERNA (CEO)
(215) 334-2200
Entity
Organization
Contact information
Practice address
1615 W OREGON AVE, PHILA, PA 19145-4500
(215) 334-2200
(215) 334-1125
Mailing address
1615 W OREGON AVE, PHILA, PA 19145-4500
(215) 334-2200
(215) 334-1125
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000720954
HIGHMARK BLUE SHIELD
PA
01
—
0391741001
KEYSTONE
PA
Enumeration date
05/24/2006
Last updated
07/22/2008
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