Provider Demographics
NPI:1447247093
Name:POSNER, MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:POSNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 LAWN AVE
Mailing Address - Street 2:
Mailing Address - City:SELLERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18960-1575
Mailing Address - Country:US
Mailing Address - Phone:215-257-8053
Mailing Address - Fax:215-257-2020
Practice Address - Street 1:711 LAWN AVE
Practice Address - Street 2:
Practice Address - City:SELLERSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18960-1575
Practice Address - Country:US
Practice Address - Phone:215-257-8053
Practice Address - Fax:215-257-2020
Is Sole Proprietor?:No
Enumeration Date:2005-09-29
Last Update Date:2010-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD058449L207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA30015474OtherKEYSTONE MERCY INDIVIDUAL
PA001598705Medicaid
PA3615280OtherAETNA INDIVIDUAL ID
PA0710502000OtherIBC INDIVIDUAL ID
PAP00828695OtherRR MEDICARE
PA8269667OtherCIGNA INDIVIDUAL ID
PAP00828695OtherRR MEDICARE
PA3615280OtherAETNA INDIVIDUAL ID