Provider Demographics
NPI:1831139500
Name:REGAN, INGE SOPHIA (MD)
Entity Type:Individual
Prefix:
First Name:INGE
Middle Name:SOPHIA
Last Name:REGAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:INGE
Other - Middle Name:SOPHIA
Other - Last Name:ZELLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:111 EAST CATHARINE ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:PA
Mailing Address - Zip Code:18337
Mailing Address - Country:US
Mailing Address - Phone:609-252-1387
Mailing Address - Fax:
Practice Address - Street 1:111 E CATHERINE ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:PA
Practice Address - Zip Code:18337-1347
Practice Address - Country:US
Practice Address - Phone:570-409-9700
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD059298L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0007811Medicaid
NJG32960Medicare UPIN
NJ0007811Medicaid