Organization
CONRAD WEISER MEDICAL GROUP P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD T. BIGOS M.D. (PRESIDENT)
(610) 589-2555
Entity
Organization
Contact information
Practice address
1137 W PENN AVE, WOMELSDORF, PA 19567-9770
(610) 589-2555
(610) 589-4940
Mailing address
1137 W PENN AVE, WOMELSDORF, PA 19567-9770
(610) 589-2555
(610) 589-4940
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011394440002
—
PA
01
—
02548100
BLUE CROSS PROV #
PA
01
—
CO119780
HIGHMARK PROVIDER #
PA
Enumeration date
01/25/2006
Last updated
08/22/2020
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