Organization
COMMONWEALTH PRIMARY CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT HIPPERT DO (HEAD PHYSICIAN)
(610) 944-0464
Entity
Organization
Contact information
Practice address
805 N RICHMOND ST, FLEETWOOD, PA 19522-1031
(610) 944-0464
Mailing address
2 MERIDIAN BLVD, WYOMISSING, PA 19610-3202
(610) 372-8257
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03009300
CAPITAL BLUE CROSS
PA
01
—
488455
HIGHMARK BLUE SHIELD
PA
01
—
CI9844
PALMETTO GBA
PA
Enumeration date
09/19/2005
Last updated
08/22/2020
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