PM PEDIATRICS OF PENNSYLVANIA NPI 1780169227

NPI Information

NPI: 1780169227
Provider Name: PM PEDIATRICS OF PENNSYLVANIA
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 39D2165846

Address:
101 E SWEDESFORD RD
WAYNE, PA
ZIP 19087
Phone: (610) 688-5437
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PM PEDIATRICS OF PENNSYLVANIA is an urgent care clinic center in Wayne, PA. PM PEDIATRICS OF PENNSYLVANIA NPI is 1780169227. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

101 E SWEDESFORD RD
WAYNE, PA
ZIP 19087-455
Phone: (610) 688-5437
Fax: (610) 688-3502

The provider's authorized official is Marlena Simpson .
The authorized official title is Sr. Director, Cred & Enrollment and has the following contact phone number (516) 207-7851.

The CLIA number assigned to this NPI record is 39D2165846 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/1/2018 and was last updated on 10/25/2021.

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
1	208000000X	Pediatrics				No
2	261QU0200X	Clinic/Center	Urgent Care			Yes

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: 5/5/2024

NPI Synchronization or Removal

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