Individual
ANDREW RUPPERSBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1530 WOODBOURNE RD, LEVITTOWN, PA 19057-1532
(215) 949-1125
(215) 949-6004
Mailing address
1530 WOODBOURNE RD, LEVITTOWN, PA 19057-1532
(215) 949-1125
(215) 949-6004
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS011909
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101258340-01
AMERICHOICE
PA
05
—
1012583400002
—
PA
05
—
1012583400003
—
PA
05
—
1012583400004
—
PA
05
—
1012583400005
—
PA
01
—
1490043
PERSONAL CHOICE
PA
01
—
2179736000
IBC, KEYSTONE
PA
01
—
2459092
UNITED HEALTHCARE
PA
01
—
30023590
KEYSTONE MERCY
PA
01
—
3193133
AETNA
PA
01
—
35651
HEALTH PARTNERS
PA
01
—
7172572
CIGNA
PA
Enumeration date
05/10/2006
Last updated
02/03/2022
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