Provider Demographics
NPI:1457451528
Name:BARSKY, JERALD (DPM)
Entity Type:Individual
Prefix:DR
First Name:JERALD
Middle Name:
Last Name:BARSKY
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 CHASEMOORE DRIVE
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19053-2400
Mailing Address - Country:US
Mailing Address - Phone:215-455-7799
Mailing Address - Fax:215-322-4144
Practice Address - Street 1:80 CHASEMOORE DRIVE
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19053-2400
Practice Address - Country:US
Practice Address - Phone:215-455-7799
Practice Address - Fax:215-322-4144
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC001373L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0060534000OtherKEYSTONE PERSONAL LICENSE
PABA059733Medicare ID - Type Unspecified
PA0060534000OtherKEYSTONE PERSONAL LICENSE