Organization
FAMILY MEDICINE ASSOCIATES OF BIRDSBORO, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A BUCZEWSKI D.O. (PRESIDENT)
(610) 582-5300
Entity
Organization
Contact information
Practice address
321 N FURNACE ST, SUITE 100, BIRDSBORO, PA 19508-2057
(610) 582-5300
(610) 582-1464
Mailing address
321 N FURNACE ST, SUITE 100, BIRDSBORO, PA 19508-2057
(610) 582-5300
(610) 582-1464
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02327500
CAPITAL BLUE CROSS
PA
01
—
421487
BLUE SHIELD
PA
Enumeration date
05/28/2006
Last updated
08/22/2020
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