| Oxford Valley Medical Practice Pc | |
|
320 Middletown Blvd Ste 301 Langhorne PA 19047-3202 | |
| (267) 568-2042 | |
| (267) 568-2089 |
| Full Name | Oxford Valley Medical Practice Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 320 Middletown Blvd Ste 301, Langhorne, Pennsylvania |
| Authorized Official Name and Position | Michael David Smith (PHYSICIAN/PRESIDENT) |
| Authorized Official Contact | 2152625736 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oxford Valley Medical Practice Pc 320 Middletown Blvd Ste 301 Po Box 908 Langhorne PA 19047-3202 Ph: (267) 568-2042 | Oxford Valley Medical Practice Pc 320 Middletown Blvd Ste 301 Langhorne PA 19047-3202 Ph: (267) 568-2042 |
| NPI Number | 1093771420 |
|---|---|
| Provider Enumeration Date | 04/25/2006 |
| Last Update Date | 03/25/2021 |
| Medicare PECOS PAC ID | 5991130817 |
|---|---|
| Medicare Enrollment ID | O20200122001873 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093771420 | NPI | - | NPPES |
| 1038470520001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS005896L (Pennsylvania) | Primary |
| Provider Name | Michael D Smith |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1992760219 PECOS PAC ID: 8921130006 Enrollment ID: I20100726000412 |
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