Individual
MR. GEORGE M PROTENIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
826 MAIN ST STE 100, PHOENIXVILLE, PA 19460-4459
(484) 928-6780
(267) 741-0003
Mailing address
207 N BROAD ST FL 3, PHILADELPHIA, PA 19107-1500
(267) 479-4142
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA000658L
PA
363AM0700X
Medical Physician Assistant
MA0006581
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031466560003
—
PA
Enumeration date
02/08/2006
Last updated
07/15/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us