Organization
LOWER BUCKS HOSPITAL
Active
Other names
LBH Physician Group
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL OLIVIERI (CFO)
(215) 785-9325
Entity
Organization
Contact information
Practice address
1 WOODHAVEN MALL, 1336 BRISTOL PIKE, SUITE 201, BENSALEM, PA 19020-5607
(215) 639-3911
(215) 639-5292
Mailing address
501 BATH RD, BRISTOL, PA 19007-3101
(215) 785-9200
(215) 785-9039
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000348728
HIGHMARK BLUE SHIELD
PA
01
—
0776018000
IBC
PA
05
—
100745380 002
—
PA
01
—
30012055
KEYSTONE MERCY
PA
Enumeration date
04/23/2007
Last updated
03/01/2012
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