Basic Information
Provider Information
NPI: 1962744458
EntityType: 2
ReplacementNPI:  
OrganizationName: LANGHORNE PHYSICIAN SERVICES
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
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Credential:  
OtherOrganizationName: HEART CARE ASSOCIATES OF BUCKS COUNTY LPS
OtherOrganizationType: 3
OtherLastName:  
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OtherCredential:  
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Mailing Information
Address1: 41 UNIVERSITY DRIVE
Address2: SUITE 300
City: NEWTOWN
State: PA
PostalCode: 189401873
CountryCode: US
TelephoneNumber: 2157105522
FaxNumber: 2157105181
Practice Location
Address1: 240 MIDDLETOWN BLVD
Address2: SUITE 201
City: LANGHORNE
State: PA
PostalCode: 19047
CountryCode: US
TelephoneNumber: 2157529950
FaxNumber: 2157529974
Other Information
ProviderEnumerationDate: 03/22/2013
LastUpdateDate: 08/10/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: PROFERA
AuthorizedOfficialFirstName: SHARON
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: ADMIN DIR OF FINANCIAL SERVICES
AuthorizedOfficialTelephone: 2157102013
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
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NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000X  Y193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

No ID Information.


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