Healthcare Provider Details

I. General information

NPI: 1891759593
Provider Name (Legal Business Name): LOWER BUCKS HEALTH ENTERPRISES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2006
Last Update Date: 03/01/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 BATH RD
BRISTOL PA
19007-3101
US

IV. Provider business mailing address

501 BATH RD
BRISTOL PA
19007-3101
US

V. Phone/Fax

Practice location:
  • Phone: 215-785-9418
  • Fax: 215-785-9193
Mailing address:
  • Phone: 215-785-9418
  • Fax: 215-785-9193

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1800X
TaxonomyCorporate Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL OLIVIERI
Title or Position: CFO
Credential:
Phone: 215-785-9785