MEDICARE: ALTSCHULER-GELFAND-BENJAMIN, ASSOC., LTD

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	174400000X	Specialist

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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699889824
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALTSCHULER-GELFAND-BENJAMIN, ASSOC., LTD

Provider Business Mailing Address
First Line	:	9501 ROOSEVELT BLVD
Second Line	:	SUITE 208
City	:	PHILADELPHIA
State	:	PA
Zip	:	19114-1027
Country	:	US
Telephone Number	:	215-969-2300
Fax Number	:	215-969-2327

Provider Business Practice Location Address
First Line	:	9501 ROOSEVELT BLVD
Second Line	:	SUITE 208
City	:	PHILADELPHIA
State	:	PA
Zip	:	19114-1027
Country	:	US
Telephone Number	:	215-969-2300
Fax Number	:	215-969-2327

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. STANLEY L. ALTSCHULER
Credential	:	M.D.
Telephone Number	:	215-969-2300

Provider Enumeration Date	:	08/17/2006
Last Update Date	:	06/05/2017

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