Provider Demographics
NPI:1710942008
Name:BILSKY, ALAN CHARLES (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:CHARLES
Last Name:BILSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 WASHINGTON LN STE 18C
Mailing Address - Street 2:
Mailing Address - City:WYNCOTE
Mailing Address - State:PA
Mailing Address - Zip Code:19095-1400
Mailing Address - Country:US
Mailing Address - Phone:215-884-4600
Mailing Address - Fax:888-271-2410
Practice Address - Street 1:25 WASHINGTON LN STE 18C
Practice Address - Street 2:
Practice Address - City:WYNCOTE
Practice Address - State:PA
Practice Address - Zip Code:19095-1400
Practice Address - Country:US
Practice Address - Phone:215-884-4600
Practice Address - Fax:888-271-2410
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-19
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD027513E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
00544020001OtherKEYSTONE HPE
37280OtherAETNA
PA00982865Medicaid
8864099004OtherCIGNA
37280OtherAETNA
00544020001OtherKEYSTONE HPE
8864099004OtherCIGNA