MEDICARE: LARCHWOOD MEDICAL ASSOCIATES

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	207R00000X	Internal Medicine Physician	MD019877E	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
2	0674187001	OTHER	PA	KEYSTONE
3	0054772000	OTHER	PA	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1558387951
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LARCHWOOD MEDICAL ASSOCIATES

Provider Business Mailing Address
First Line	:	501 S 54TH ST
Second Line	:	STE 227
City	:	PHILA
State	:	PA
Zip	:	19143-1900
Country	:	US
Telephone Number	:	215-528-5288
Fax Number	:	215-528-5033

Provider Business Practice Location Address
First Line	:	501 S 54TH ST
Second Line	:	STE 227
City	:	PHILA
State	:	PA
Zip	:	19143-1900
Country	:	US
Telephone Number	:	215-528-5288
Fax Number	:	215-528-5033

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RAYMOND LLOYD COLEMAN
Credential	:	MD
Telephone Number	:	215-528-5288

Provider Enumeration Date	:	07/15/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1487781639 — DR. RAYMOND LLOYD COLEMAN M.D.
Practice Location Address:

501 S 54TH ST , STE 227
PHILA, PA
19143-1900

Practice Phone: 215-528-5288
Practice Fax: 215-528-5033

1295563831 — MELISSA HECHT LSW
Practice Location Address:

501 S 54TH ST FL 5
PHILA, PA
19143-1900

Practice Phone: 215-581-2033
Practice Fax:

1417382888 — PUBLIC HEALTH MANAGEMENT CORPORATION
Practice Location Address:

1900 N 9TH ST
PHILA, PA
19122-2024

Practice Phone: 215-765-6690
Practice Fax: 215-765-2506

1154734283 — RITEAID
Practice Location Address:

9910 FRANKFORD AVE
PHILA, PA
19114-1900

Practice Phone: 215-824-2700
Practice Fax:

1083029045 — EUNHEE PARK
Practice Location Address:

9910 FRANKFORD AVE
PHILA, PA
19114-1900

Practice Phone: 215-824-2700
Practice Fax:

1528459211 — JANE LEVY
Practice Location Address:

1900 N 9TH ST
PHILA, PA
19122-2024

Practice Phone: 215-765-6690
Practice Fax: 215-765-6694

Directions to “LARCHWOOD MEDICAL ASSOCIATES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.