OrganizationNazareth Physician Services Inc(<Unavail>)Family MedicineAllopathic & Osteopathic PhysiciansPractice Address9815 Roosevelt Blvd Ste G, Philadelphia, PA 19114(215) 330-3330(610) 567-6964PECOS EnrollmentBased on the most recent information from CMS, provider Nazareth Physician Services Inc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1619491453Provider TypeOrganizationFull NameNazareth Physician Services IncOther Name<Unavail>SubpartNoEnumeration Date8/2/2017Last Updated6/28/2018Contact InformationPractice LocationPractice Address9815 Roosevelt Blvd Ste G, Philadelphia, PA 19114Phone(215) 330-3330Fax(215) 330-9859Mailing LocationMailing Address1 W Elm St, Conshohocken, PA 19428-4108Phone(610) 567-6964Fax(610) 567-5420Authorized OfficialNameHopkins, Beth (Director Billing)Phone(610) 567-5239Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerPennsylvaniaCode363LA2200XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted Issuer