Individual
PATRICIA OLYMPIA DECHELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1203 LANGHORNE NEWTOWN RD STE 226, LANGHORNE, PA 19047-1224
(215) 710-4460
(215) 710-4465
Mailing address
41 UNIVERSITY DR, SUITE 300, NEWTOWN, PA 18940-1873
(215) 710-5522
(215) 710-5181
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD424600
PA
208M00000X
Hospitalist Physician
Primary
MD424600
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011067400006
—
PA
01
—
2332063000
KEYSTONE IBC
PA
01
—
4769622
CIGNA
PA
01
—
655618
HIGHMARK BLUE SHIELD
PA
01
—
P01515612
RAILROAD MEDICARE
PA
Enumeration date
07/11/2006
Last updated
05/13/2021
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