Provider Demographics
NPI:1639125347
Name:WJO INC.
Entity Type:Organization
Organization Name:WJO INC.
Other - Org Name:OXFORD VALLEY FAMILY PRACTICE AND MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR, HUMAN RESOURCES
Authorized Official - Prefix:
Authorized Official - First Name:KRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCMANUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-757-0465
Mailing Address - Street 1:3554 HULMEVILLE RD.
Mailing Address - Street 2:SUITE 103
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020
Mailing Address - Country:US
Mailing Address - Phone:215-757-0465
Mailing Address - Fax:215-757-0546
Practice Address - Street 1:1108 WOODBOURNE RD
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:PA
Practice Address - Zip Code:19057-1004
Practice Address - Country:US
Practice Address - Phone:267-583-1300
Practice Address - Fax:215-504-9260
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WJO INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-25
Last Update Date:2010-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2350100000OtherIBC
PA1675135OtherHIGHMARK
PA087766Medicare ID - Type Unspecified