Provider Demographics
NPI:1942495668
Name:GREGORY J. LYNCH, D.O., P.C.
Entity Type:Organization
Organization Name:GREGORY J. LYNCH, D.O., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:J
Authorized Official - Last Name:LYNCH
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:215-444-9979
Mailing Address - Street 1:205 NEWTOWN RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-5275
Mailing Address - Country:US
Mailing Address - Phone:215-444-9979
Mailing Address - Fax:215-672-3979
Practice Address - Street 1:205 NEWTOWN RD
Practice Address - Street 2:SUITE 108
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-5275
Practice Address - Country:US
Practice Address - Phone:215-444-9979
Practice Address - Fax:215-672-3979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-06
Last Update Date:2007-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0009622090005Medicaid
PA0009622090005Medicaid
PA102889Medicare PIN