Organization
BASIL JAWAD,M .D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BASIL JAWAD M.D. (OWNER)
(610) 383-1100
Entity
Organization
Contact information
Practice address
3149 LINCOLN HWY, THORNDALE, PA 19372-1129
(610) 383-1100
(610) 383-1331
Mailing address
3149 LINCOLN HWY, THORNDALE, PA 19372-1129
(610) 383-1100
(610) 383-1331
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008733880006
—
PA
01
—
0026142001
PERSONAL CHOICE
PA
01
—
1025763
KEYSTONE MERCY
PA
01
—
102698
PA BLUE SHIELD
PA
01
—
110007674
RAIL ROAD MEDICARE
PA
Enumeration date
04/09/2007
Last updated
04/29/2008
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