Provider Demographics
NPI:1528119476
Name:LOWER BUCKS NEONATOLOGY SERVICES, INC
Entity type:Organization
Organization Name:LOWER BUCKS NEONATOLOGY SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOSNOVSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-785-9916
Mailing Address - Street 1:PO BOX 1628
Mailing Address - Street 2:
Mailing Address - City:HORSHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19044-6628
Mailing Address - Country:US
Mailing Address - Phone:215-830-9991
Mailing Address - Fax:
Practice Address - Street 1:501 BATH ST
Practice Address - Street 2:LOWER BUCKS HOSPITAL
Practice Address - City:BRISTOL
Practice Address - State:PA
Practice Address - Zip Code:19007-3603
Practice Address - Country:US
Practice Address - Phone:215-785-9916
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018478920002Medicaid
PA0877525000OtherINDEPENDENCE BLUE CROSS
PA922562OtherBLUE CROSS