Healthcare Provider Details

I. General information

NPI: 1972555340
Provider Name (Legal Business Name): DR HARVEY N LISGAR & ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 ALMSHOUSE RD SUITE 202
RICHBORO PA
18954-1154
US

IV. Provider business mailing address

95 ALMSHOUSE RD SUITE 202
RICHBORO PA
18954-1154
US

V. Phone/Fax

Practice location:
  • Phone: 215-364-4141
  • Fax: 215-364-7162
Mailing address:
  • Phone: 215-364-4141
  • Fax: 215-364-7162

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: HARVEY N LISGAR
Title or Position: OWNER
Credential: DO
Phone: 215-364-4141