Closkey, Gregory Mark

Closkey, Gregory Mark is an individual health care provider with primary practice located at 830 Old Lancaster Rd Suite 206, Bryn Mawr PA 19010-3118. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Closkey, Gregory Mark can be contacted via phone (610) 525-8110.

Contact Information

Primary practice address
830 Old Lancaster Rd Suite 206 Bryn Mawr PA 19010-3118
Phone: (610) 525-8110
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD038267L Pennsylvania

Profile Details

NPI number 1942223573
LBN Legal business name Closkey, Gregory Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Sep 4th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942223573 NPPES
Pennsylvania Other 098735 BLUE SHIELD
Pennsylvania Other 0012981000002 BLUE SHIELD
Pennsylvania MEDICAID 0012986000002 BLUE SHIELD
Pennsylvania Other 390002631 BLUE SHIELD

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