MEDICARE: HENRY AVENUE PEDIATRICS

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	208000000X	Pediatrics Physician

General Provider Information

NPI Number	:	1861651911
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HENRY AVENUE PEDIATRICS

Provider Business Mailing Address
First Line	:	8500 HENRY AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19128-2111
Country	:	US
Telephone Number	:	215-483-8865
Fax Number	:	215-483-8915

Provider Business Practice Location Address
First Line	:	8500 HENRY AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19128-2111
Country	:	US
Telephone Number	:	215-483-8865
Fax Number	:	215-483-8915

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	LOUISE T HOLMES
Credential	:
Telephone Number	:	215-707-1059

Provider Enumeration Date	:	06/04/2008
Last Update Date	:	12/13/2010

Similar Medicare Providers

1457322455 — VICTOR JAY BAROUH O.D.
Practice Location Address:

8500 HENRY AVE , ANDORRA SHOPPING CENTER
PHILADELPHIA, PA
19128-2111

Practice Phone: 215-487-2345
Practice Fax: 215-487-2346

1619910908 — CHARLENE M BROCK MD
Practice Location Address:

8500 HENRY AVE , TPI HENRY AVENUE PEDIATRICS
PHILADELPHIA, PA
19128-2111

Practice Phone: 215-483-8865
Practice Fax: 215-483-8027

1619029238 — TEMPLE PHYSICIANS INC.
Practice Location Address:

8500 HENRY AVE
PHILADELPHIA, PA
19128-2111

Practice Phone: 215-483-8865
Practice Fax: 215-483-8027

1912021999 — DR. VICTOR JAY BAROUH
Practice Location Address:

8500 HENRY AVE , ANDORRA SHOPPING CENTER
PHILADELPHIA, PA
19128-2111

Practice Phone: 215-487-2345
Practice Fax:

1992091367 — DR. LINDSEY BETH BAROUH O.D.
Practice Location Address:

8500 HENRY AVE , ANDORRA SHOPPING CENTER
PHILADELPHIA, PA
19128-2111

Practice Phone: 215-487-2345
Practice Fax: 215-487-2346

1619381266 — CATHY WOO RPH
Practice Location Address:

8500 HENRY AVE
PHILADELPHIA, PA
19128-2111

Practice Phone: 215-483-5995
Practice Fax: 215-483-4430

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