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Organization

BUCKS COUNTY REHAB & WELLNESS CTR

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AUSTIN L SEDICUM III DPM (OWNER)
(215) 529-6511
Entity
Organization

Contact information

Practice address
1040 S WEST END BLVD, QUAKERTOWN, PA 18951-2634
(215) 529-7246
(215) 529-6512
Mailing address
1040 S WEST END BLVD, QUAKERTOWN, PA 18951-2634
(215) 529-7246
(215) 529-6512

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC00551
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
063480
PIN NUMBER
PA
01
1417165
BLUE SHIELD
PA
01
1418639
BLUE SHIELD
PA
01
1418761
BLUE SHIELD
PA
01
2103588000
KEYSTONE
PA
01
2105345000
KEYSTONE
PA
01
50010317
CAPITAL BLUE
PA
01
50016192
CAPITAL BLUE
PA
01
564698
BLUE SHIELD
PA
01
7802379
AETNA
PA
Enumeration date
04/14/2007
Last updated
03/07/2023
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