Provider Demographics
NPI:1497793350
Name:PEARLSTEIN, LOUIS SAMUEL (DO)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:SAMUEL
Last Name:PEARLSTEIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3070 BRISTOL PIKE
Mailing Address - Street 2:STE 124
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-5364
Mailing Address - Country:US
Mailing Address - Phone:215-245-0272
Mailing Address - Fax:215-244-1005
Practice Address - Street 1:3070 BRISTOL PIKE
Practice Address - Street 2:STE 124
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-5364
Practice Address - Country:US
Practice Address - Phone:215-245-0272
Practice Address - Fax:215-244-1005
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS004200L2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA4462576OtherAETNA HMO
PA1073417OtherAETNA COMMERCIAL
PA1213660OtherCIGNA
PAB40914Medicare UPIN
PA1073417OtherAETNA COMMERCIAL