Organization
PENN FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT W SCHORSCHINSKY D.O. (OWNER)
(610) 898-9200
Entity
Organization
Contact information
Practice address
4885 DEMOSS RD, SUITE 203, READING, PA 19606-9023
(610) 898-9200
(610) 898-9188
Mailing address
639 WYNONAH DR, AUBURN, PA 17922-9402
(610) 898-9200
(610) 898-9188
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
05-009487-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000125507
UNISON/THREE RIVERS PROV
PA
01
—
01168001
INDIV. ID BLUE CROSS
PA
01
—
02338600
CAPITAL BLUE CROSS
PA
01
—
0721895001
GROUP ID KHPE
PA
01
—
0731031000
INDIV. ID DHPE
PA
01
—
080170263
RR MEDICARE PIN
PA
01
—
1708315
MEDICAL ASSISTANCE
PA
01
—
280998
MAMSI
PA
01
—
346961
BLUE SHIELD
PA
01
—
4535653
AETNA PPO
PA
01
—
59548 S1DF
GELSINGER IND PIN
PA
01
—
977114
INDIV. ID KHPC & SENIOR B
PA
01
—
SC977114
HIGHMARK PROVIDER ID
PA
Enumeration date
11/01/2006
Last updated
01/16/2010
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