Individual
DR. JOHN PYM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MB, BS
Contact information
Practice address
3998 RED LION RD, SUITE 214, PHILADELPHIA, PA 19114-1445
(215) 612-5050
(215) 612-5214
Mailing address
PO BOX 8500-6335, PHILADELPHIA, PA 19178-6335
(215) 807-8000
(215) 612-5214
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
C10006870
DE
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD067548L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001741516
—
PA
05
—
0017415160009
—
PA
01
—
30074497
KEYSTONE MERCY
PA
01
—
34705MD067548L
HEALTH PARTNERS
PA
01
—
440771
MLHC MEDICARE AA#
PA
01
—
6373393
AETNA HMO
PA
01
—
996709
HIGHMARK BLUE SHIELD
PA
Enumeration date
10/31/2006
Last updated
10/21/2011
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