Organization
CENTRAL BUCKS OPHTHALMOLOGY, LLC
Active
Organization
CENTRAL BUCKS OPHTHALMOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTINE E LONGSHORE MD (PRESIDENT)
(215) 348-4554
Entity
Organization
Contact information
Practice address
410 FARM LN, THE CARRAIGE HOUSE, DOYLESTOWN, PA 18901-4740
(215) 348-4554
(215) 348-4968
Mailing address
410 FARM LN, THE CARRAIGE HOUSE, DOYLESTOWN, PA 18901-4740
(215) 348-4554
(215) 348-4968
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD063813L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1595442
BLUE SHIELD GROUP NUMBER
PA
01
—
3476993
AETNA HMO GROUP NUMBER
PA
01
—
7638537
AETNA NON-HMO GROUP NUMBE
PA
01
—
P3275675
OXFORD
PA
Enumeration date
02/08/2007
Last updated
02/18/2010
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