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Organization

PENN NEUROLOGIC ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD ALAN BUCKLER M.D. (PHYSICIAN)
(215) 257-4900
Entity
Organization

Contact information

Practice address
920 LAWN AVE, THE SUMMIT, SELLERSVILLE, PA 18960-1560
(215) 257-4900
(215) 257-6681
Mailing address
920 LAWN AVE, THE SUMMIT, SELLERSVILLE, PA 18960-1560
(215) 257-4900
(215) 257-6681

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD040916E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0012941560002
PA
01
0022227000
KEYSTONE HEALTH PLAN EAST
PA
01
0055941
US HEALTHCARE
PA
01
0085270
CIGNA
PA
01
03195000
CAPITAL BLUE CROSS
PA
01
1001358
KEYSTONE MERCY
PA
01
5740334
AETNA COMERCIAL
PA
Enumeration date
05/18/2006
Last updated
10/05/2015
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