MEDICARE: FAMILY CARE MEDICAL CENTER

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	207Q00000X	Family Medicine Physician	MD041215-E	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	:	1093761405
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY CARE MEDICAL CENTER

Provider Business Mailing Address
First Line	:	1700 HORIZON DR
Second Line	:	SUITE 203
City	:	CHALFONT
State	:	PA
Zip	:	18914-3950
Country	:	US
Telephone Number	:	215-997-0890
Fax Number	:	215-997-9652

Provider Business Practice Location Address
First Line	:	1700 HORIZON DR
Second Line	:	SUITE 203
City	:	CHALFONT
State	:	PA
Zip	:	18914-3950
Country	:	US
Telephone Number	:	215-997-0890
Fax Number	:	215-997-9652

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. DAWN E. DORN
Credential	:	LPN
Telephone Number	:	215-997-0890

Provider Enumeration Date	:	05/26/2006
Last Update Date	:	01/21/2010

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1700 HORIZON DR , STE 203
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1568623700 — DR. EVAN E NEFT M.D.
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Directions to “FAMILY CARE MEDICAL CENTER ” Practice Location

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