Mark J. Libassi
Trauma Surgeon
1203 Langhorne Newtown Rd Ste 225
Langhorne
, Pennsylvania 19047-1237
Mark J. Libassi
Trauma Surgeon
1203 Langhorne Newtown Rd Ste 225
Langhorne
, Pennsylvania 19047-1237
(215) 710-5181
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About
Features
Specialties
- Trauma Surgeon
Languages spoken
- English
Location
First Address
- Mark J. Libassi
- 41 University Dr Ste 300
- Newtown, PA
- Zip : 18940-1873
- Fax : (215) 710-5181
- Phone : (215) 710-5522
Second Address
- Mark J. Libassi
- 1203 Langhorne Newtown Rd Ste 225
- Langhorne, PA
- Zip : 19047-1237
- Fax : (215) 710-6614
- Phone : (215) 710-6613
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0127X | Trauma Surgeon | MD042679E | PA |
National Provider Identifier
| NPI | 1215967682 |
|---|---|
| Provider Name | Mark J. Libassi |
| First Address | Newtown, PA 18940-1873 |
| Second Address | Langhorne, PA 19047-1237 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/07/2006 |
| Last Update Date | 20/05/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0014618900004 | (05) | PA |
| 0014618900005 | (05) | PA |
| 0014618900008 | (05) | PA |
| 0014618900009 | (05) | PA |
| 0100031000 | KEYSTONE IBC (01) | PA |
| 01461890-03 | AMERICHOICE (01) | PA |
| 020046024 | RAILROAD MEDICARE (01) | PA |
| 0224098 | CIGNA (01) | PA |
| 30017960 | KEYSTONE MERCY (01) | PA |
| 34799 | HEALTH PARTNERS (01) | PA |
| 3634221 | AETNA HMO (01) | PA |
| 431350 | HIGHMARK BLUE SHIELD (01) | PA |
| 431350 | PERSONAL CHOICE (01) | PA |
| F45737 | (02) | PA |
| PA0026087 | TRICARE (01) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.