MEDICARE: DR. NANCY J PICKERING MD

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	MD024121E	PA
2	207RC0000X	Cardiovascular Disease Physician	MD024121E	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

General Provider Information

NPI Number	:	1801821798
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NANCY J PICKERING MD

Provider Business Mailing Address
First Line	:	7 BALA AVE STE 203
Second Line	:
City	:	BALA CYNWYD
State	:	PA
Zip	:	19004-3205
Country	:	US
Telephone Number	:	215-877-7400
Fax Number	:	215-877-7479

Provider Business Practice Location Address
First Line	:	7 BALA AVE STE 203
Second Line	:
City	:	BALA CYNWYD
State	:	PA
Zip	:	19004-3205
Country	:	US
Telephone Number	:	215-877-7400
Fax Number	:	215-877-7479

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

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	08/09/2022

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