| Conrad Weiser Medical Group P.c. | |
|
1137 W Penn Ave Womelsdorf PA 19567-9770 | |
| (610) 589-2555 | |
| (610) 589-4940 |
| Full Name | Conrad Weiser Medical Group P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 1137 W Penn Ave, Womelsdorf, Pennsylvania |
| Authorized Official Name and Position | Edward T. Bigos (PRESIDENT) |
| Authorized Official Contact | 6105892555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Conrad Weiser Medical Group P.c. 1137 W Penn Ave Womelsdorf PA 19567-9770 Ph: (610) 589-2555 | Conrad Weiser Medical Group P.c. 1137 W Penn Ave Womelsdorf PA 19567-9770 Ph: (610) 589-2555 |
| NPI Number | 1134199763 |
|---|---|
| Provider Enumeration Date | 01/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134199763 | NPI | - | NPPES |
| 02548100 | Other | PA | BLUE CROSS PROV # |
| 0011394440002 | Medicaid | PA | |
| CO119780 | Other | PA | HIGHMARK PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Pennsylvania) | Primary |