Provider Demographics
NPI:1700213329
Name:LANGHORNE PHYSICIAN SERVICES
Entity Type:Organization
Organization Name:LANGHORNE PHYSICIAN SERVICES
Other - Org Name:LANGHORNE PHYSICIAN SERVICES COMPREHENSIVE UROLOGIC SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMIN DIR OF FINANCIAL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:PROFERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-710-2013
Mailing Address - Street 1:41 UNIVERSITY DR STE 300
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1873
Mailing Address - Country:US
Mailing Address - Phone:215-710-7037
Mailing Address - Fax:215-710-5181
Practice Address - Street 1:1203 LANGHORNE NEWTOWN RD BLDG SUITE336
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1209
Practice Address - Country:US
Practice Address - Phone:215-710-4490
Practice Address - Fax:215-710-4491
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LANGHORNE PHYSICIAN SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-09-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty