Organization
BUXMONT MEDICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY MARK MANDEL M.D. (PRACTICE ADMINISTRATOR)
(215) 918-5555
Entity
Organization
Contact information
Practice address
847 EASTON RD, SUITE 2500, WARRINGTON, PA 18976-2907
(215) 918-5555
(215) 918-5560
Mailing address
847 EASTON RD, SUITE 2500, WARRINGTON, PA 18976-2907
(215) 918-5555
(215) 918-5560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139172
AETNA GROUP ID NUMBER
PA
01
—
1462206
HIGHMARK BLUE SHIELD #
PA
01
—
2151562001
KEYSTONE HEALTHPLAN GROUP
PA
Enumeration date
10/17/2006
Last updated
03/25/2014
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