MEDICARE: DR. TRISHA L ACRI MD

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
1	2083A0300X	Addiction Medicine (Preventive Medicine) Physician	MD421581	PA
2	207Q00000X	Family Medicine Physician	MD421581	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467497123
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TRISHA L ACRI MD

Provider Business Mailing Address
First Line	:	620 E WILLOW GROVE AVE
Second Line	:
City	:	WYNDMOOR
State	:	PA
Zip	:	19038-7949
Country	:	US
Telephone Number	:	215-990-7853
Fax Number	:

Provider Business Practice Location Address
First Line	:	7198 CASTOR AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19149-1105
Country	:	US
Telephone Number	:	267-217-3217
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2006
Last Update Date	:	06/16/2022

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