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NPI Code Detail

MEDICARE: HEALTH ACCESS NETWORK

MEDICARE: HEALTH ACCESS NETWORK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15541514OTHERPAAETNA EPDB GROUP
2827125OTHERPAPABS GROUP AA
30858224016OTHERPAIBC MHS GROUP

General Provider Information

NPI Number : 1013126218
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTH ACCESS NETWORK
Provider Business Mailing Address
First Line : 2602 W 9TH ST
Second Line :
City : CHESTER
State : PA
Zip : 19013-2040
Country : US
Telephone Number : 610-497-7407
Fax Number : 610-497-7487
Provider Business Practice Location Address
First Line : 176 S NEW MIDDLETOWN RD
Second Line :
City : MEDIA
State : PA
Zip : 19063-5255
Country : US
Telephone Number : 610-627-3690
Fax Number : 610-627-3684
Authorized Official
Title or Position : PRESIDENT
Name : MR. BRAD PRECHTL
Credential :
Telephone Number : 610-338-8386
Provider Enumeration Date : 05/22/2007
Last Update Date : 08/22/2020

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Directions to “HEALTH ACCESS NETWORK ” Practice Location

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