Provider Demographics
NPI:1518176734
Name:HEALTH ACCESS NETWORK
Entity Type:Organization
Organization Name:HEALTH ACCESS NETWORK
Other - Org Name:HAN THOMAS CELELLO, MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRAD
Authorized Official - Middle Name:
Authorized Official - Last Name:PRECHTL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-338-8386
Mailing Address - Street 1:2602 W 9TH ST
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19013-2040
Mailing Address - Country:US
Mailing Address - Phone:610-497-7407
Mailing Address - Fax:610-497-7487
Practice Address - Street 1:300 EVERGREEN DR
Practice Address - Street 2:SUITE 150
Practice Address - City:GLEN MILLS
Practice Address - State:PA
Practice Address - Zip Code:19342-1059
Practice Address - Country:US
Practice Address - Phone:610-579-3480
Practice Address - Fax:610-579-3485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA08787945031OtherIBC MHS GROUP
PA7198853OtherAETNA EPDB GROUP
PA846065OtherPABS GROUP AA
PA846065Medicare ID - Type Unspecified