SUBURBAN MEDICAL GROUP LLC NPI 1710355029

NPI Information

  • NPI: 1710355029
  • Provider Name: SUBURBAN MEDICAL GROUP LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 39D0973448
  • Address: 2701 DEKALB PIKE
    EAST NORRITON, PA
    ZIP 19401
  • Phone: (610) 278-2002

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NPI Details

SUBURBAN MEDICAL GROUP LLC is a family medicine in East Norriton, PA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SUBURBAN MEDICAL GROUP LLC NPI is 1710355029. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2701 DEKALB PIKE
EAST NORRITON, PA
ZIP 19401-820
Phone: (610) 278-2002
Fax: (610) 272-4642

The provider's authorized official is Christopher Doan .
The authorized official title is Managing Associate General Counsel and has the following contact phone number (310) 259-4706.

The CLIA number assigned to this NPI record is 39D0973448 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/3/2015 and was last updated on 10/25/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207L00000XAnesthesiologyNo
2207P00000XEmergency MedicineNo
3207R00000XInternal MedicineNo
4207V00000XObstetrics & GynecologyNo
5208000000XPediatricsNo
6208600000XSurgeryNo
7367500000XNurse Anesthetist, Certified RegisteredNo
8207Q00000XFamily MedicineYes

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: 11/21/2025

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