MEDICARE: DR. RICHARD A PRESS JR. M.D.

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	208D00000X	General Practice Physician	MD010203E	PA

General Provider Information

NPI Number	:	1134191489
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD A PRESS JR. M.D.

Provider Business Mailing Address
First Line	:	1234 MARKET ST
Second Line	:	SEPTA MEDICAL DEPT.
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-3721
Country	:	US
Telephone Number	:	215-580-7749
Fax Number	:	215-580-3726

Provider Business Practice Location Address
First Line	:	1234 MARKET ST
Second Line	:	SEPTA MEDICAL DEPT.
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-3721
Country	:	US
Telephone Number	:	215-580-7749
Fax Number	:	215-580-3726

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

Provider Enumeration Date	:	02/02/2006
Last Update Date	:	07/08/2007

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