MEDICARE: MARK D ALLEN MD

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	207X00000X	Orthopaedic Surgery Physician	MD038491L	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	P00197203	OTHER	PA	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0103215202	OTHER	PA	AMERICHOICE
2	1148659	OTHER	PA	KEYSTONE MERCY
3	15010	OTHER	PA	BRAVO ELDER HEALTH
4	13361	OTHER	PA	HEALTH PARTNERS
5	995155	OTHER	PA	HIGHMARK
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548253834
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK D ALLEN MD

Provider Business Mailing Address
First Line	:	318 N LANSDOWNE AVE
Second Line	:
City	:	LANSDOWNE
State	:	PA
Zip	:	19050-1018
Country	:	US
Telephone Number	:	610-259-8344
Fax Number	:	610-259-3385

Provider Business Practice Location Address
First Line	:	318 N LANSDOWNE AVE
Second Line	:
City	:	LANSDOWNE
State	:	PA
Zip	:	19050-1018
Country	:	US
Telephone Number	:	610-259-8344
Fax Number	:	610-259-3385

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

Provider Enumeration Date	:	08/23/2005
Last Update Date	:	11/21/2016

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Directions to “ MARK D ALLEN MD” Practice Location

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