Provider Demographics
NPI:1689933970
Name:MULTICARE HOUSE CALL PHYSICIANS, INC.
Entity Type:Organization
Organization Name:MULTICARE HOUSE CALL PHYSICIANS, INC.
Other - Org Name:MULTICARE HEALTH SYSTEM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO - ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LEONID
Authorized Official - Middle Name:
Authorized Official - Last Name:SAFRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-331-0805
Mailing Address - Street 1:8118 OLD YORK RD
Mailing Address - Street 2:LOWER LEVEL
Mailing Address - City:ELKINS PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-1423
Mailing Address - Country:US
Mailing Address - Phone:215-331-0805
Mailing Address - Fax:215-635-1026
Practice Address - Street 1:8118 OLD YORK RD
Practice Address - Street 2:LOWER LEVEL
Practice Address - City:ELKINS PARK
Practice Address - State:PA
Practice Address - Zip Code:19027-1423
Practice Address - Country:US
Practice Address - Phone:215-331-0805
Practice Address - Fax:215-635-1026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-08
Last Update Date:2012-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty