Pediatric Associates Of Paoli

LBN: Pediatric Associates Of Paoli, Pc
Pediatric Associates Of Paoli is an health care organization with primary practice located at 17 Industrial Blvd Suite 204, Paoli PA 19301-1607. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Pediatric Associates Of Paoli, Pc can be contacted via phone (610) 647-1484, or through Kienzle, Terry via phone (610) 647-1484.

Contact Information

Primary practice address
17 Industrial Blvd Suite 204 Paoli PA 19301-1607
Phone: (610) 647-1484
Fax: (610) 647-7068
Website:
Map and Directions
Authorized official contact:
Name: Kienzle, Terry
Phone: (610) 647-1484

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X Pennsylvania

Profile Details

NPI number 1083683742
LBN Legal business name Pediatric Associates Of Paoli, Pc
DBA Doing business as Pediatric Associates Of Paoli
Authorized official Kienzle, Terry
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2006
Last updated Nov 20th, 2007 - about 17 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 1083683742 NPPES
Pennsylvania Other 897325 BLUE SHIELD

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