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Contact Information

BOOTHWYN MEDICAL ASSOCIATES P.C.
1440 CONCHESTER HWY
SUITE 5A
BOOTHWYN, PA19061-2124
 Phone: 610-459-3722
 Fax: 610-459-4730
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Adult Medicine

207QA0505X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for BOOTHWYN MEDICAL ASSOCIATES P.C.

NPI # 1699715086
LBN Legal business name BOOTHWYN MEDICAL ASSOCIATES P.C.
Authorized official RODNEY ELKIN - (PHYSICIAN/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/07/2006
Last updated 08/12/2011 - About 15 years ago
Identifiers
PA License # MD030635E
PA License # MD038926L
PA Medicaid 0012788500001
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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