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Contact Information

PEDIATRIC ASSOCIATES
30 MEDICAL CENTER BLVD
SUITE 103
UPLAND, PA19013-3955
 Phone: 610-874-7111
 Fax: 610-874-5687
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PEDIATRIC ASSOCIATES · (Female)

NPI Number 1811941057
Status Active
Credentials
Entity Individual
Enumeration date 05/20/2006
Last updated 02/18/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA Medicaid 0006704470001
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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