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Contact Information

POTTSTOWN MEDICAL SPECIALISTS PHOENIXVILLE
LBN PHOENIXVILLE MEDICAL GROUP
500 GAY STREET
PHOENIXVILLE, PA19460
 Phone: 610-935-7500
 Fax: 610-935-4338
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for POTTSTOWN MEDICAL SPECIALISTS PHOENIXVILLE

NPI # 1144540337
LBN Legal business name PHOENIXVILLE MEDICAL GROUP
DBA Doing business as POTTSTOWN MEDICAL SPECIALISTS PHOENIXVILLE
Authorized official KATIE HARRISON - (COMMUNICATIONS ADMINISTRATOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/10/2010
Last updated 03/28/2014 - About 5 years ago
Identifiers
PA License # MD024972E
PA Medicaid 0007964850006
PA Other 026191 BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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