Libassi, Mark J.

Libassi, Mark J. is an individual health care provider with primary practice located at 1203 Langhorne Newtown Rd Ste 225 , Langhorne PA 19047-1237. He recently has only one registered license in Allopathic & Osteopathic Physicians / Trauma Surgery, which is considered as his primary health care specialty. Libassi, Mark J. can be contacted via phone (215) 710-6613.

Contact Information

Primary practice address
1203 Langhorne Newtown Rd Ste 225 Langhorne PA 19047-1237
Fax: (215) 710-6614
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X MD042679E Pennsylvania

Profile Details

NPI number 1215967682
LBN Legal business name Libassi, Mark J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated May 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215967682 NPPES
Pennsylvania MEDICAID 0014618900004
Pennsylvania MEDICAID 0014618900005
Pennsylvania Other 0224098
Pennsylvania MEDICAID 0014618900008
Pennsylvania Other 020046024
Pennsylvania Other 30017960
Pennsylvania Other 3634221
Pennsylvania Other 431350
Pennsylvania MEDICAID 0014618900009
Pennsylvania Other 0100031000
Pennsylvania Other 34799
Pennsylvania Other PA0026087
Pennsylvania Other 01461890-03
Pennsylvania Other 431350

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