Individual
MARK J. LIBASSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1203 LANGHORNE NEWTOWN RD STE 225, LANGHORNE, PA 19047-1237
(215) 710-6613
(215) 710-6614
Mailing address
41 UNIVERSITY DR STE 300, NEWTOWN, PA 18940-1873
(215) 710-5522
(215) 710-5181
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
MD042679E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014618900004
—
PA
05
—
0014618900005
—
PA
05
—
0014618900008
—
PA
05
—
0014618900009
—
PA
01
—
0100031000
KEYSTONE IBC
PA
01
—
01461890-03
AMERICHOICE
PA
01
—
020046024
RAILROAD MEDICARE
PA
01
—
0224098
CIGNA
PA
01
—
30017960
KEYSTONE MERCY
PA
01
—
34799
HEALTH PARTNERS
PA
01
—
3634221
AETNA HMO
PA
01
—
431350
PERSONAL CHOICE
PA
01
—
PA0026087
TRICARE
PA
Enumeration date
07/03/2006
Last updated
05/20/2021
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