Organization
BUXMONT CARDIOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCHELL MILES GREENSPAN MD (PARTNER)
(215) 257-1127
Entity
Organization
Contact information
Practice address
3 LIFE MARK DR, SELLERSVILLE, PA 18960-1598
(215) 257-1127
(215) 257-0129
Mailing address
3 LIFE MARK DR, SELLERSVILLE, PA 18960-1598
(215) 257-1127
(215) 257-0129
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009631080006
—
PA
01
—
045470
KEYSTONE HEALTH PLAN EAST
—
01
—
4663
AETNA/USHEALTHCARE
—
Enumeration date
05/19/2006
Last updated
02/09/2010
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