Provider Demographics
NPI:1457386575
Name:FOLKMAN, MICHELLE G (MD)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:G
Last Name:FOLKMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8500-6335
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19178-0001
Mailing Address - Country:US
Mailing Address - Phone:215-807-8000
Mailing Address - Fax:215-807-8235
Practice Address - Street 1:3998 RED LION RD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19114-1436
Practice Address - Country:US
Practice Address - Phone:215-612-4000
Practice Address - Fax:215-807-8235
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD422289208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2185024OtherCIGNA
PAP00287213OtherRAILROAD MEDICARE
PA01738OtherHEALTH PARTNERS
PA1803823OtherPERSONAL CHOICE
PA2640016000OtherKEYSTONE IBC
PA30029046OtherKEYSTONE MERCY
PA1014995210001Medicaid
PA1014995210003Medicaid
PA1014995210002Medicaid
PA1803823OtherHIGHMARK BLUE SHIELD
PAP00287213OtherRAILROAD MEDICARE
PA1014995210003Medicaid