Provider Demographics
NPI:1255433397
Name:PINSK, JEFFREY H (MD)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:H
Last Name:PINSK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3475 W CHESTER PIKE
Mailing Address - Street 2:SUITE 120
Mailing Address - City:NEWTON SQ
Mailing Address - State:PA
Mailing Address - Zip Code:19073
Mailing Address - Country:US
Mailing Address - Phone:610-353-6600
Mailing Address - Fax:610-353-3399
Practice Address - Street 1:3475 W CHESTER PIKE
Practice Address - Street 2:SUITE 120
Practice Address - City:NEWTON SQ
Practice Address - State:PA
Practice Address - Zip Code:19073
Practice Address - Country:US
Practice Address - Phone:610-353-6600
Practice Address - Fax:610-353-3399
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD034145E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1102678Medicaid
C34542Medicare UPIN
PA476501Medicare ID - Type Unspecified