MEDICARE: STAFFMORE

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	302R00000X	Health Maintenance Organization	251S00000X	PA

General Provider Information

NPI Number	:	1932451382
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STAFFMORE

Provider Business Mailing Address
First Line	:	1230 SUMMER ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-1633
Country	:	US
Telephone Number	:	215-772-0101
Fax Number	:

Provider Business Practice Location Address
First Line	:	1230 SUMMER ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-1633
Country	:	US
Telephone Number	:	215-772-0101
Fax Number	:

Authorized Official
Title or Position	:	BSC/MT
Name	:	MR. SAHIR MUHAMMAD
Credential	:	MS
Telephone Number	:	267-688-6454

Provider Enumeration Date	:	10/10/2012
Last Update Date	:	10/10/2012

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Directions to “STAFFMORE ” Practice Location

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