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HATBORO PEDIATRICS PC NPI 1417241464


NPI Information

NPI: 1417241464
Provider Name: HATBORO PEDIATRICS, PC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 39D2028186

Address:
483 E COUNTY LINE RD
HATBORO, PA
ZIP 19040
Phone: (215) 441-5670
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HATBORO PEDIATRICS, PC is a pediatrics in Hatboro, PA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. HATBORO PEDIATRICS, PC NPI is 1417241464. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

483 E COUNTY LINE RD
HATBORO, PA
ZIP 19040-204
Phone: (215) 441-5670
Fax: (215) 441-5661

The provider's authorized official is Jennifer B Coren .
The authorized official title is President and has the following contact phone number (215) 441-5670.

The CLIA number assigned to this NPI record is 39D2028186 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/7/2011 and was last updated on 11/10/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsOS013183PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11017137480001MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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