Healthcare Provider Details

I. General information

NPI: 1881682615
Provider Name (Legal Business Name): HEALTH ACCESS NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2005
Last Update Date: 05/13/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MEDICAL CENTER BLVD
UPLAND PA
19013-3902
US

IV. Provider business mailing address

PO BOX 8500 2940
PHILADELPHIA PA
19178-0001
US

V. Phone/Fax

Practice location:
  • Phone: 610-447-2282
  • Fax: 610-447-2254
Mailing address:
  • Phone: 586-412-4369
  • Fax: 526-412-4037

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number
License Number State

VIII. Authorized Official

Name: GERALYN E. PATERSON
Title or Position: ADMINISTRATIVE DIRECTOR BUS. OFFICE
Credential:
Phone: 610-497-7410