Healthcare Provider Details

I. General information

NPI: 1861423162
Provider Name (Legal Business Name): BENSALEM FAMILY HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2966 STREET RD
BENSALEM PA
19020-2604
US

IV. Provider business mailing address

2966 STREET RD
BENSALEM PA
19020-2604
US

V. Phone/Fax

Practice location:
  • Phone: 215-638-0666
  • Fax: 215-638-3320
Mailing address:
  • Phone: 215-638-0666
  • Fax: 215-638-3320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: JOEL KRAVITZ
Title or Position: PRESIDENT
Credential: MD
Phone: 215-638-0666