Anderson, Jeffrey Dale
Anderson, Jeffrey Dale is an individual health care provider with primary practice located at 1201 Langhorne Newtown Road St Mary Medical Center, Langhorne PA 19047. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Anderson, Jeffrey Dale can be contacted via phone (215) 710-5900.Contact Information
Primary practice address
1201 Langhorne Newtown Road St Mary Medical Center
Langhorne PA 19047
Phone: (215) 710-5900
Fax: (215) 710-6973
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD036686E | Pennsylvania |
Profile Details
| NPI number | 1841257268 |
|---|---|
| LBN Legal business name | Anderson, Jeffrey Dale |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 28th, 2006 |
| Last updated | May 21st, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841257268 | NPPES |
| Pennsylvania | MEDICAID | 001415238 |
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