Zionsville Family Practice | |
5802 Chestnut St Zionsville PA 18092-2105 | |
(610) 965-9100 | |
(610) 967-9609 |
Full Name | Zionsville Family Practice |
---|---|
Speciality | Family Medicine |
Location | 5802 Chestnut St, Zionsville, Pennsylvania |
Authorized Official Name and Position | Stephen A Lanshe (VP LEGAL AFFAIRS) |
Authorized Official Contact | 6107765141 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Zionsville Family Practice 421 W Chew St Physician Accounts Allentown PA 18102-3406 Ph: (610) 776-5100 | Zionsville Family Practice 5802 Chestnut St Zionsville PA 18092-2105 Ph: (610) 965-9100 |
NPI Number | 1366403370 |
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Provider Enumeration Date | 03/29/2006 |
Last Update Date | 02/25/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366403370 | NPI | - | NPPES |
174971 | Other | PA | HIGHMARK BS GROUP NUMBER |
5936066 | Other | AETNA PPO | |
03161000 | Other | PA | CBC GROUP NUMBER |
0550891 | Other | AETNA HMO | |
0178860001 | Other | IBC | |
1521933 | Other | GATEWAY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |