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NPI Code Detail

MEDICARE: BETSY MAMTSIS

MEDICARE: BETSY MAMTSIS
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
1183500000XPharmacistRP450024PA

General Provider Information

NPI Number : 1225489164
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETSY MAMTSIS
Provider Business Mailing Address
First Line : 1385 DOGWOOD LN
Second Line :
City : HUNTINGDON VALLEY
State : PA
Zip : 19006-2630
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2545 ARAMINGO AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19125-3728
Country : US
Telephone Number : 215-423-2361
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2016
Last Update Date : 06/22/2016

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Directions to “ BETSY MAMTSIS ” Practice Location

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