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NPI Code Detail

MEDICARE: ACADIAN EMERGENCY PHYSICIANS, LLC

MEDICARE: ACADIAN EMERGENCY PHYSICIANS, LLC
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
1363A00000XPhysician Assistant
2363L00000XNurse Practitioner
3207P00000XEmergency Medicine Physician

General Provider Information

NPI Number : 1194198002
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACADIAN EMERGENCY PHYSICIANS, LLC
Provider Business Mailing Address
First Line : PO BOX 80086
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19101-0086
Country : US
Telephone Number : 469-401-2386
Fax Number :
Provider Business Practice Location Address
First Line : 333 BORTHWICK AVE
Second Line :
City : PORTSMOUTH
State : NH
Zip : 03801-4198
Country : US
Telephone Number : 469-401-2386
Fax Number :
Authorized Official
Title or Position : OFFICER
Name : TENNA BEHM
Credential :
Telephone Number : 469-401-2386
Provider Enumeration Date : 11/02/2015
Last Update Date : 11/18/2015

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Directions to “ACADIAN EMERGENCY PHYSICIANS, LLC ” Practice Location

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