Provider Demographics
NPI:1912957861
Name:MEDQUEST HEALTHCARE, P.C.
Entity Type:Organization
Organization Name:MEDQUEST HEALTHCARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BELTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-275-8685
Mailing Address - Street 1:1180 PARKWOOD RD
Mailing Address - Street 2:
Mailing Address - City:BLUE BELL
Mailing Address - State:PA
Mailing Address - Zip Code:19422-4211
Mailing Address - Country:US
Mailing Address - Phone:215-275-8685
Mailing Address - Fax:
Practice Address - Street 1:4329 LANCASTER AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-1303
Practice Address - Country:US
Practice Address - Phone:215-387-3944
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA073084Medicare UPIN
PA073084Medicare PIN