Provider Demographics
NPI:1588771133
Name:BUCKS COUNTY FAMILY PRACTICE PC
Entity type:Organization
Organization Name:BUCKS COUNTY FAMILY PRACTICE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:L
Authorized Official - Last Name:VANDENBRAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-504-9026
Mailing Address - Street 1:106 CORPORATE DRIVE EAST
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047
Mailing Address - Country:US
Mailing Address - Phone:215-504-5253
Mailing Address - Fax:215-504-9037
Practice Address - Street 1:106 CORPORATE DRIVE EAST
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047
Practice Address - Country:US
Practice Address - Phone:215-504-5253
Practice Address - Fax:215-504-9037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
BC0949620Medicare UPIN
063216Medicare ID - Type Unspecified