MEDICARE: MCPHILLEMY SACHS & AVART PARTNERS

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	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1952529331
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCPHILLEMY SACHS & AVART PARTNERS

Provider Business Mailing Address
First Line	:	1925 S BROAD ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19148-2216
Country	:	US
Telephone Number	:	610-667-7712
Fax Number	:

Provider Business Practice Location Address
First Line	:	1925 S BROAD ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19148-2216
Country	:	US
Telephone Number	:	610-667-7712
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JOHN MCPHILEMY
Credential	:	DO
Telephone Number	:	610-667-7712

Provider Enumeration Date	:	04/23/2007
Last Update Date	:	07/03/2008

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