Roosevelt Emergency Physicians

LBN: Roosevelt Emergency Physicians
Roosevelt Emergency Physicians is an health care organization with primary practice located at 2601 Holmes Aveune , Philadelphia PA 19152. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as the primary health care specialty. Roosevelt Emergency Physicians can be contacted via phone (215) 335-6150, or through Stander, Eric P. via phone (215) 335-6150.

Contact Information

Primary practice address
2601 Holmes Aveune Philadelphia PA 19152
Phone: (215) 335-6150
Fax: (215) 335-1832
Website:
Map and Directions
Authorized official contact:
Name: Stander, Eric P. Doctor of Medicine (MD)
Phone: (215) 335-6150

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X

Profile Details

NPI number 1043263726
LBN Legal business name Roosevelt Emergency Physicians
DBA Doing business as
Authorized official Stander, Eric P. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2006
Last updated Apr 20th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043263726 NPPES
Pennsylvania MEDICAID 0019172260001

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