Healthcare Provider Details

I. General information

NPI: 1467699744
Provider Name (Legal Business Name): LOWER BUCKS PHYSICIAN ASSOCIATES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2009
Last Update Date: 04/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 BATH RD
BRISTOL PA
19007-3101
US

IV. Provider business mailing address

66 W. GILBERT STREET 2ND FLOOR
RED BANK NJ
07701
US

V. Phone/Fax

Practice location:
  • Phone: 215-785-9200
  • Fax:
Mailing address:
  • Phone: 732-212-0051
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH J CALABRO
Title or Position: PRESIDENT
Credential: DO
Phone: 732-212-0060