| David A Blanco, MD | |
|
5425 Lanark Rd, Center Valley, PA 18034-8697 | |
| (215) 427-6778 | |
| Not Available |
| Full Name | David A Blanco |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Pediatric Gastroenterology |
| Location | 5425 Lanark Rd, Center Valley, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619198769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0206X | Pediatrics - Pediatric Gastroenterology | MD440161C (Pennsylvania) | Primary |
| Entity Name | St Lukes Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
| Entity Name | Tower Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609291350 PECOS PAC ID: 7618889213 Enrollment ID: O20040311000072 |
| Mailing Address | Practice Location Address |
|---|---|
| David A Blanco, MD 5425 Lanark Rd, Center Valley, PA 18034-8697 Ph: (917) 952-5328 | David A Blanco, MD 5425 Lanark Rd, Center Valley, PA 18034-8697 Ph: (215) 427-6778 |
Emily Kraus, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3800 Sierra Circle, Suite 100, Center Valley, PA 18034 Phone: 484-664-2090 Fax: 484-664-2098 | |
Anuradha Rai, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3800 Sierra Cir Ste 100, Center Valley, PA 18034 Phone: 484-664-2090 Fax: 484-664-2089 | |
Kelli Nicole Harajda-hurst, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3800 Sierra Cir Ste 100, Center Valley, PA 18034 Phone: 484-664-2090 Fax: 484-664-2089 | |
Sarah Elizabeth Kleinle, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3800 Sierra Cir Ste 100, Center Valley, PA 18034 Phone: 484-664-2090 | |
Angela Marie Camasto, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3800 Sierra Cir, Suite 100, Center Valley, PA 18034 Phone: 484-664-2090 Fax: 484-664-2089 | |
Mark Andrew Mcgill, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5425 Lanark Rd, Center Valley, PA 18034 Phone: 484-658-5437 Fax: 833-214-0127 | |
Dr. Katie Kindt, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 3800 Sierra Cir Ste 100, Center Valley, PA 18034 Phone: 484-664-2090 Fax: 484-664-2089 |