Provider Demographics
NPI:1194769596
Name:GOREY, CHARLES F (DO)
Entity type:Individual
Prefix:
First Name:CHARLES
Middle Name:F
Last Name:GOREY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:730 S HANOVER ST
Mailing Address - Street 2:
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19465-7520
Mailing Address - Country:US
Mailing Address - Phone:610-323-6835
Mailing Address - Fax:610-323-4154
Practice Address - Street 1:730 S HANOVER ST
Practice Address - Street 2:
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19465-7520
Practice Address - Country:US
Practice Address - Phone:610-323-6835
Practice Address - Fax:610-323-4154
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2009-03-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS008196L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA080135388OtherRRM
PA11046985OtherMULTIPLAN
PA5422945OtherCIGNA HMO/PPO
PA0510292OtherAETNA HMO
PA0810343000OtherAMERIHEALTH/INTERCOUNTY
PA16452-OS008196LOtherHEALTH PARTNERS
PA367800OtherPHCS
PA0015286300002Medicaid
PA785606OtherHIGHMARK BLUE SHIELD
PA4658662OtherAETNA PPO
PA0152863002OtherAMERICHOICE (UHC MA PLAN)
PA2124458OtherALLIANCE/OPT CHC (MAMSI)
PA0810343000OtherIBC - PC/KHPE
PA1028461OtherKEYSTONE MERCY
PA10927765OtherCAQH ID#
PA0510292OtherAETNA HMO
PA1028461OtherKEYSTONE MERCY