Organization
YARDLEY DERMATOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE SIBONA (OFFICE MANAGER)
(215) 579-6155
Entity
Organization
Contact information
Practice address
903 FLORAL VALE BLVD, YARDLEY, PA 19067-5515
(215) 579-6155
(215) 860-0723
Mailing address
903 FLORAL VALE BLVD, YARDLEY, PA 19067-5515
(215) 579-6155
(215) 860-0723
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00828138
HIGHMARK BLUE SHIELD ID
PA
01
—
0844978000
PERSONAL CHOICE/KHPE
PA
01
—
828138
BLUE SHIELD
PA
Enumeration date
05/26/2006
Last updated
08/22/2020
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