Provider Demographics
NPI:1457480329
Name:FAMILY PRACTICE ASSOCIATES OF EXTON & MARSHALLTON, P.C.
Entity Type:Organization
Organization Name:FAMILY PRACTICE ASSOCIATES OF EXTON & MARSHALLTON, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:F
Authorized Official - Last Name:BELFIGLIO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:610-269-1372
Mailing Address - Street 1:770 W LINCOLN HWY
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2547
Mailing Address - Country:US
Mailing Address - Phone:610-269-1372
Mailing Address - Fax:610-269-6951
Practice Address - Street 1:770 W LINCOLN HWY
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2547
Practice Address - Country:US
Practice Address - Phone:610-269-1372
Practice Address - Fax:610-269-6951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2016-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0865244001OtherKEYSTONE HMO
PAG000151700OtherAMERICHOICE HMO
PA0014730400006Medicaid
PA0865244000OtherPERSONAL CHOICE
PA6118281OtherTRICARE
PACE0922OtherRAILROAD MEDICARE
PA0014730400007Medicaid
PA833274OtherPA BLUE SHIELD
PAG000012500OtherAMERICHOICE HMO
PA019411OtherAETNA HMO
PA0014730400007Medicaid
PA0865244001OtherKEYSTONE HMO