Provider Demographics
NPI:1639346745
Name:MELVIN TWERSKY DOPC
Entity Type:Organization
Organization Name:MELVIN TWERSKY DOPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETER
Authorized Official - Prefix:DR
Authorized Official - First Name:MELVIN
Authorized Official - Middle Name:Z
Authorized Official - Last Name:TWERSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:215-927-7806
Mailing Address - Street 1:6580 SENATOR LN
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-1960
Mailing Address - Country:US
Mailing Address - Phone:215-752-5542
Mailing Address - Fax:215-752-5542
Practice Address - Street 1:5604 N BROAD ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19141-2306
Practice Address - Country:US
Practice Address - Phone:215-927-7806
Practice Address - Fax:215-927-5212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-08
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS003955207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1302OtherELDER HEALTH OF PENNSYLVANIA
PA100002OtherKEYSTONE MERCY
PA01824OtherHEALTH PARTNERS SENIOR
PA0057980000OtherPERSONAL CHOICE GROUP NUMBER
PA0057980001OtherKEYSTONE EAST
PA0068394602OtherAMERICHOICE GROUP
PA1302OtherELDER HEALTH OF PENNSYLVANIA
PA0068394602OtherAMERICHOICE GROUP