Healthcare Provider Details

I. General information

NPI: 1225528185
Provider Name (Legal Business Name): BUCKS COUNTY VEIN, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2018
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1205 LANGHORNE-NEWTOWN RD SUITE 106
LANGHORNE PA
19047
US

IV. Provider business mailing address

1205 LANGHORNE NEWTOWN RD STE 106
LANGHORNE PA
19047-1220
US

V. Phone/Fax

Practice location:
  • Phone: 215-757-5131
  • Fax: 215-757-5870
Mailing address:
  • Phone: 215-757-5131
  • Fax: 215-757-5870

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD420494
License Number StatePA

VIII. Authorized Official

Name: CHRISTOPHER KOWALSKI
Title or Position: OWNER
Credential:
Phone: 215-757-5131