1201 Pediatric Group

LBN: 1201 Pediatric Group
1201 Pediatric Group is an health care organization with primary practice located at 1201 County Line Rd Suite 200, Bryn Mawr PA 19010-2636. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. 1201 Pediatric Group can be contacted via phone (610) 525-2180, or through Bomze, Jeffery via phone (610) 525-2180.

Contact Information

Primary practice address
1201 County Line Rd Suite 200 Bryn Mawr PA 19010-2636
Phone: (610) 525-2180
Fax: (215) 527-2773
Website:
Map and Directions
Authorized official contact:
Name: Bomze, Jeffery Doctor of Medicine (MD)
Phone: (610) 525-2180

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1083694798
LBN Legal business name 1201 Pediatric Group
DBA Doing business as
Authorized official Bomze, Jeffery Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2006
Last updated Jul 18th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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