Provider Demographics
NPI:1629058490
Name:LOFTUS, MARY ELIZABETH (DPM)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:ELIZABETH
Last Name:LOFTUS
Suffix:
Gender:F
Credentials:DPM
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Mailing Address - Street 1:2775 SCHOENERSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-7307
Mailing Address - Country:US
Mailing Address - Phone:610-861-8080
Mailing Address - Fax:610-807-0366
Practice Address - Street 1:2775 SCHOENERSVILLE RD
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-7307
Practice Address - Country:US
Practice Address - Phone:610-861-8080
Practice Address - Fax:610-807-0366
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2007-12-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASC002466L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
0232809OtherUNITED HEALTHCARE
P1814285OtherOXFORD HEALTH PLANS
29708OtherGEISINGER HEALTH PLAN
0041082000OtherAMERIHEALTH
1254799OtherCIGNA HEALTHCARE
50058563OtherCAPITAL BLUE CROSS
0041082000OtherINDEPENDENCE BLUE CROSS
4409376OtherAETNA PPO
2170549OtherMAMSI
50058563OtherKEYSTONE HEALTH CENTRAL
P00299389OtherRAILROAD MEDICARE
417240OtherHEALTHAMERICA/HEALTHASSUR
9416875OtherPRIVATE HEALTHCARE SYSTEM
0041082000OtherKEYSTONE HEALTH EAST
134261OtherHIGHMARK BLUE SHIELD
821133OtherFIRST PRIORITY HEALTH
P00299389OtherRAILROAD MEDICARE
134261Medicare PIN