Provider Demographics
NPI:1316985310
Name:ALPHA MEDICAL GROUP,LTD.
Entity type:Organization
Organization Name:ALPHA MEDICAL GROUP,LTD.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:J
Authorized Official - Last Name:LIMBERAKIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-676-5100
Mailing Address - Street 1:9601 BUSTLETON AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19115-3810
Mailing Address - Country:US
Mailing Address - Phone:215-676-5100
Mailing Address - Fax:215-676-4122
Practice Address - Street 1:9601 BUSTLETON AVE
Practice Address - Street 2:LOWER LEVEL
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19115-3810
Practice Address - Country:US
Practice Address - Phone:215-676-5100
Practice Address - Fax:215-676-4122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-02
Last Update Date:2016-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1008229OtherKEYSTONE MERCY HEALTH PLAN
PA0272804OtherCIGNA HEALTH PLAN PPO
PA0823424000OtherAMERIHEALTH NEW JERSEY HMO
PA0001850OtherAETNA HEALTH PLAN
PA781909OtherBCBS
PA0823424000OtherINDEPENDENCE BLUE CROSS
PA002437836OtherUNITED HEALTHCARE
PA0508032OtherCIGNA HEALTH PLAN HMO
PA0508032OtherCIGNA HEALTH PLAN HMO