Provider Demographics
NPI:1710988944
Name:GRINGERI, LOUIS JOHN (DO PC)
Entity Type:Individual
Prefix:
First Name:LOUIS
Middle Name:JOHN
Last Name:GRINGERI
Suffix:
Gender:M
Credentials:DO PC
Other - Prefix:
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Mailing Address - Street 1:770 NEWTOWN YARDLEY RD
Mailing Address - Street 2:STE 221
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-4501
Mailing Address - Country:US
Mailing Address - Phone:215-860-2990
Mailing Address - Fax:215-860-0347
Practice Address - Street 1:2875 S EAGLE RD
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-1590
Practice Address - Country:US
Practice Address - Phone:215-860-2990
Practice Address - Fax:215-860-0347
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-10
Last Update Date:2018-02-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PA0S006262L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
161301Medicare ID - Type Unspecified
D98743Medicare UPIN