Provider Demographics
NPI:1164576096
Name:BENSALEM PEDIATRICS
Entity Type:Organization
Organization Name:BENSALEM PEDIATRICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:CHUIPEK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-244-4488
Mailing Address - Street 1:1950 STREET RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-3755
Mailing Address - Country:US
Mailing Address - Phone:215-244-4488
Mailing Address - Fax:215-244-6588
Practice Address - Street 1:1950 STREET RD
Practice Address - Street 2:SUITE 210
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-3755
Practice Address - Country:US
Practice Address - Phone:215-244-4488
Practice Address - Fax:215-244-6588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD032786E208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA19984OtherUS HEALTH CARE
PA6134467OtherCIGNA HEALTH CARE
PA0371668000OtherPERSONAL CHOICE
PA0371668002OtherKEYSTONE HEALTH PLAN EAST
PA1022134OtherKEYSTONE MERCY HEALTH PLA
PA14774OtherHEALTH PARNTERS