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NPI Code Detail

MEDICARE: ALAN KIVITZ MD

MEDICARE:   ALAN  KIVITZ  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RR0500XRheumatology PhysicianMD026744EPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1338517OTHERPABLUE SHEILD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447259023
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALAN KIVITZ MD
Provider Business Mailing Address
First Line : 175 MEADOWBROOK LN
Second Line :
City : DUNCANSVILLE
State : PA
Zip : 16635-8445
Country : US
Telephone Number : 814-693-0300
Fax Number : 814-693-0400
Provider Business Practice Location Address
First Line : 175 MEADOWBROOK LN
Second Line :
City : DUNCANSVILLE
State : PA
Zip : 16635-8445
Country : US
Telephone Number : 814-693-0300
Fax Number : 814-693-0400
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2005
Last Update Date : 04/27/2017

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Directions to “ ALAN KIVITZ MD” Practice Location

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