Pcg Internal Medicine

LBN: Pediatric Care Group, P.C.
Pcg Internal Medicine is an health care organization with primary practice located at 261 Old York Road Suite 620, Jenkintown PA 19046. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Pediatric Care Group, P.C. can be contacted via phone (215) 885-8700, or through Mundell, Marylee via phone (215) 885-8700.

Contact Information

Primary practice address
261 Old York Road Suite 620 Jenkintown PA 19046
Fax: (215) 885-8795
Website:
Authorized official contact:
Name: Mundell, Marylee Doctor of Osteopathy (DO)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Pennsylvania

Profile Details

NPI number 1093129157
LBN Legal business name Pediatric Care Group, P.C.
DBA Doing business as Pcg Internal Medicine
Authorized official Mundell, Marylee Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 17th, 2014
Last updated Jun 17th, 2014 - about 11 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 1093129157 NPPES
Pennsylvania MEDICAID 1013372830001
Pennsylvania Other 1497162

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