Organization
PENNRIDGE OBGYN ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK B VIZER MD (PRES)
(215) 257-1193
Entity
Organization
Contact information
Practice address
920 LAWN AVE, SELLERSVILLE, PA 18960-1560
(215) 257-1193
(215) 257-0307
Mailing address
920 LAWN AVE, SELLERSVILLE, PA 18960-1560
(215) 257-1193
(215) 257-0307
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021897000
KEYSTONE HEALTH PLAN EAST
PA
Enumeration date
07/25/2006
Last updated
08/22/2020
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