Individual
JOHN E. DEVENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
559 W GERMANTOWN PIKE, EAST NORRITON, PA 19403-4250
(484) 622-0700
(484) 622-0643
Mailing address
PO BOX 820137, PHILADELPHIA, PA 19182-0137
(610) 270-2352
(610) 270-2358
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
MD013519E
PA
2085N0904X
Nuclear Radiology Physician
MD013519E
PA
2085R0202X
Diagnostic Radiology Physician
Primary
MD013519E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007042220001
—
PA
01
—
0057272000
IBC - PC/KHPE
PA
01
—
0070422201
AMERICHOICE
PA
01
—
066736
HIGHMARK BLUESHIELD
PA
01
—
1030301
KEYSTONE MERCY HEALTHPLAN
PA
01
—
2649708
AETNA HMO
PA
01
—
300040510
RRM
PA
01
—
350689
PHCS
PA
01
—
4339200
AETNA PPO
PA
01
—
6864183
CIGNA HMO/PPO
PA
Enumeration date
05/10/2006
Last updated
10/15/2012
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