Provider Demographics
NPI:1740384080
Name:PIERCE, GREGORY H (MD)
Entity Type:Individual
Prefix:
First Name:GREGORY
Middle Name:H
Last Name:PIERCE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2 WARTMAN RD
Mailing Address - Street 2:
Mailing Address - City:COLLEGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19426-1719
Mailing Address - Country:US
Mailing Address - Phone:215-668-5184
Mailing Address - Fax:610-831-9747
Practice Address - Street 1:984-BRISTOL PIKE
Practice Address - Street 2:B
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-6006
Practice Address - Country:US
Practice Address - Phone:215-645-1887
Practice Address - Fax:215-645-1889
Is Sole Proprietor?:No
Enumeration Date:2006-09-08
Last Update Date:2014-09-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD027209E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
C30181Medicare UPIN