Provider Demographics
NPI:1821194606
Name:DRS ADLEN AND PINCIOTTI P.C.
Entity Type:Organization
Organization Name:DRS ADLEN AND PINCIOTTI P.C.
Other - Org Name:MARK E. ADLEN D.O. P.C.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:E
Authorized Official - Last Name:ADLEN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:215-295-3685
Mailing Address - Street 1:PO BOX 2192
Mailing Address - Street 2:119 MILL ST.
Mailing Address - City:BRISTOL
Mailing Address - State:PA
Mailing Address - Zip Code:19007-0992
Mailing Address - Country:US
Mailing Address - Phone:215-785-0305
Mailing Address - Fax:215-785-3081
Practice Address - Street 1:119 MILL ST
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:PA
Practice Address - Zip Code:19007-4806
Practice Address - Country:US
Practice Address - Phone:215-785-0305
Practice Address - Fax:215-785-3081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS002947L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0680209002OtherKEYSTONE MORRISVILLE
PA001435620000Medicaid
PA0680209000OtherHIGHMARK BCBS
NJ462202OtherHORIZON BCBS OF NJ
PA00452OtherAETNA MORRISVILLE
PA1027004OtherMERCY MORRISVILLE
PA0680209001OtherKEYSTONE BRISTOL
NJ3541606Medicaid
PA1006858OtherMERCY BRISTOL
PA462202OtherROYAL INS COMPANY
PA19474OtherAETNA BRISTOL
PA278756OtherNATIONWIDE
PA6112541OtherCIGNA HEALTHCARE
PA00452OtherAETNA MORRISVILLE
PA0680209002OtherKEYSTONE MORRISVILLE
PA278756OtherNATIONWIDE
PA=========OtherAMERICHOICE GROUP
NJ462202OtherHORIZON BCBS OF NJ