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NAZARETH PHYSICIAN SERVICES INC NPI 1699726844


NPI Information

NPI: 1699726844
Provider Name: NAZARETH PHYSICIAN SERVICES INC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
2701 HOLME AVE
SUITE 205
PHILADELPHIA, PA
ZIP 19152
Phone: (215) 543-1026
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NAZARETH PHYSICIAN SERVICES INC is a vascular surgery surgery in Philadelphia, PA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. NAZARETH PHYSICIAN SERVICES INC NPI is 1699726844. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2701 HOLME AVE
SUITE 205
PHILADELPHIA, PA
ZIP 19152-029
Phone: (215) 543-1026
Fax: (215) 338-1250

The provider's authorized official is Lance Castle .
The authorized official title is Sir Dir Physician Billing and has the following contact phone number (610) 567-5520.

The enumeration date for this NPI number is 5/12/2006 and was last updated on 12/7/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyNo
2207VG0400XObstetrics & GynecologyGynecologyNo
32086S0129XSurgeryVascular SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1095918MEDICARE PINPENNSYLVANIA
2NA1775677OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
31014655140002MEDICAIDPENNSYLVANIA
42457876000OTHERPENNSYLVANIAIBC#
5425807OTHERPENNSYLVANIAAETNA OFFICE #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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