Organization
BUCKS COUNTY CENTER FOR VEIN MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY M CALLAN (OFFICE MANAGER)
(215) 750-7442
Entity
Organization
Contact information
Practice address
1205 LANGHORNE NEWTOWN RD, STE 106, LANGHORNE, PA 19047
(215) 750-7442
(215) 757-5870
Mailing address
1205 LANGHORNE NEWTOWN RD, STE 106, LANGHORNE, PA 19047
(215) 750-7442
(215) 757-5870
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0566810000
IBC
PA
01
—
0849150001
MEDICARE TRAVELERS
PA
01
—
117105
AETNA
PA
01
—
176453
OXFORD
PA
01
—
322061B
KEYSTONE MERCY
PA
01
—
728444
BLUE SHIELD
PA
Enumeration date
07/27/2006
Last updated
05/21/2008
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