| Leon E. Gosciniak D.o.,p.c. | |
|
705 State Rd Croydon PA 19021-7446 | |
| (215) 785-3300 | |
| (215) 785-0818 |
| Full Name | Leon E. Gosciniak D.o.,p.c. |
|---|---|
| Speciality | General Practice |
| Location | 705 State Rd, Croydon, Pennsylvania |
| Authorized Official Name and Position | Leon E Gosciniak (PRESIDENT) |
| Authorized Official Contact | 2157853300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leon E. Gosciniak D.o.,p.c. 705 State Rd Croydon PA 19021-7446 Ph: (215) 785-3300 | Leon E. Gosciniak D.o.,p.c. 705 State Rd Croydon PA 19021-7446 Ph: (215) 785-3300 |
| NPI Number | 1881814580 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881814580 | NPI | - | NPPES |
| 0022558001 | Other | PA | KEYSTONE HEALTH PLAN EAST |
| 165839 | Other | PA | INDEPENDENCE BLUE CROSS |
| 165839 | Other | PA | HIGHMARK BLUE SHIELD |
| 1700820040 | Other | PA | NPI PROVIDER NUMBER |
| 0022558001 | Other | PA | AMERIHEALTH INS.CO.N.J. |
| 0022558001 | Other | PA | PERSONAL CHOICE |
| 0022558001 | Other | PA | AMERIHEALTH HMO N.J. |
| 000675962003 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | OS004147L (Pennsylvania) | Primary |
Robert H Brehouse Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Janet Ave, Croydon, PA 19021 Phone: 215-788-2575 |