MEDICARE: ANN L HONEBRINK 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
1	207V00000X	Obstetrics & Gynecology Physician	M0028338E	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558306175
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANN L HONEBRINK MD

Provider Business Mailing Address
First Line	:	250 KING OF PRUSSIA RD
Second Line	:	PENN MED AT RADNOR
City	:	RADNOR
State	:	PA
Zip	:	19087-5220
Country	:	US
Telephone Number	:	610-902-2500
Fax Number	:

Provider Business Practice Location Address
First Line	:	250 KING OF PRUSSIA RD
Second Line	:	PENN MED AT RADNOR
City	:	RADNOR
State	:	PA
Zip	:	19087-5235
Country	:	US
Telephone Number	:	610-902-2525
Fax Number	:	610-902-2504

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2006
Last Update Date	:	09/01/2015

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Directions to “ ANN L HONEBRINK MD” Practice Location

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