Provider Demographics
NPI:1396731501
Name:ANNESLEY FLANAGAN FISCHER STEFANYSZYN AND ASSOCIATES
Entity type:Organization
Organization Name:ANNESLEY FLANAGAN FISCHER STEFANYSZYN AND ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTIAL
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:B
Authorized Official - Last Name:PENNE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-649-1970
Mailing Address - Street 1:100 E LANCASTER AVE STE 54
Mailing Address - Street 2:
Mailing Address - City:WYNNEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19096-3438
Mailing Address - Country:US
Mailing Address - Phone:610-649-1970
Mailing Address - Fax:610-649-8624
Practice Address - Street 1:100 E LANCASTER AVE
Practice Address - Street 2:SUITE 256 MOB EAST
Practice Address - City:WYNNEWOOD
Practice Address - State:PA
Practice Address - Zip Code:19096-3450
Practice Address - Country:US
Practice Address - Phone:610-649-1970
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-22
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207WX0200XAllopathic & Osteopathic PhysiciansOphthalmologyOphthalmic Plastic and Reconstructive SurgeryGroup - Multi-Specialty
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ55431Medicare ID - Type Unspecified
PA143850Medicare ID - Type Unspecified