Provider Demographics
NPI:1083762405
Name:JEFFREY H. PINSK, M.D.
Entity Type:Organization
Organization Name:JEFFREY H. PINSK, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIOTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:H
Authorized Official - Last Name:PINSK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-353-6600
Mailing Address - Street 1:3475 W CHESTER PIKE
Mailing Address - Street 2:SUITE 120
Mailing Address - City:NEWTOWN SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19073-4280
Mailing Address - Country:US
Mailing Address - Phone:610-353-6600
Mailing Address - Fax:
Practice Address - Street 1:3475 W CHESTER PIKE
Practice Address - Street 2:SUITE 120
Practice Address - City:NEWTOWN SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19073-4280
Practice Address - Country:US
Practice Address - Phone:610-353-6600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD034145E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty