Pediatric Associates

LBN: Pediatric Associates
Pediatric Associates is an health care organization with primary practice located at 30 Medical Center Blvd Suite 103, Upland PA 19013-3955. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. Pediatric Associates can be contacted via phone (610) 874-7111, or through Goldberg, Ronald J via phone (610) 874-8122.

Contact Information

Primary practice address
30 Medical Center Blvd Suite 103 Upland PA 19013-3955
Phone: (610) 874-7111
Fax: (610) 874-5687
Website:
Map and Directions
Authorized official contact:
Name: Goldberg, Ronald J Doctor of Medicine (MD)
Phone: (610) 874-8122

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X

Profile Details

NPI number 1811941057
LBN Legal business name Pediatric Associates
DBA Doing business as
Authorized official Goldberg, Ronald J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2006
Last updated Feb 18th, 2016 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811941057 NPPES
Pennsylvania MEDICAID 0006704470001

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