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1194769596

NPI Code Detail

MEDICARE: CHARLES F. GOREY DO

MEDICARE: CHARLES F. GOREY DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	OS008196L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	080135388	OTHER	PA	RRM
2	11046985	OTHER	PA	MULTIPLAN
3	5422945	OTHER	PA	CIGNA HMO/PPO
4	0510292	OTHER	PA	AETNA HMO
5	0810343000	OTHER	PA	AMERIHEALTH/INTERCOUNTY
6	16452-OS008196L	OTHER	PA	HEALTH PARTNERS
7	367800	OTHER	PA	PHCS
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	785606	OTHER	PA	HIGHMARK BLUE SHIELD
10	4658662	OTHER	PA	AETNA PPO
11	0152863002	OTHER	PA	AMERICHOICE (UHC MA PLAN)
12	2124458	OTHER	PA	ALLIANCE/OPT CHC (MAMSI)
13	0810343000	OTHER	PA	IBC - PC/KHPE
14	1028461	OTHER	PA	KEYSTONE MERCY
15	10927765	OTHER	PA	CAQH ID#

General Provider Information

NPI Number	:	1194769596
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLES F. GOREY DO

Provider Business Mailing Address
First Line	:	730 S HANOVER ST
Second Line	:
City	:	POTTSTOWN
State	:	PA
Zip	:	19465-7520
Country	:	US
Telephone Number	:	610-323-6835
Fax Number	:	610-323-4154

Provider Business Practice Location Address
First Line	:	730 S HANOVER ST
Second Line	:
City	:	POTTSTOWN
State	:	PA
Zip	:	19465-7520
Country	:	US
Telephone Number	:	610-323-6835
Fax Number	:	610-323-4154

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2006
Last Update Date	:	03/13/2009

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Directions to “ CHARLES F. GOREY DO” Practice Location

Language	Start Address	Practice Location

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