Pocono Adult & Pediatric Medical Group Llc
LBN: Pocono Adult & Pediatric Medical Group Llc
Pocono Adult & Pediatric Medical Group Llc is an health care organization with primary practice located at 302 E Brown St Suite A, East Stroudsburg PA 18301-3010. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Pocono Adult & Pediatric Medical Group Llc can be contacted via phone (570) 476-4161, or through Ufondu, Solibe Chikaodili via phone (570) 476-4161.
Contact Information
Primary practice address
302 E Brown St Suite A
East Stroudsburg PA 18301-3010
Phone: (570) 476-4161
Fax: (570) 476-9954
Website:
Authorized official contact:
Name: Ufondu, Solibe Chikaodili Doctor of Medicine (MD)
Phone: (570) 476-4161
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD062479L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD062320L | Pennsylvania |
Profile Details
| NPI number | 1144251745 |
|---|---|
| LBN Legal business name | Pocono Adult & Pediatric Medical Group Llc |
| DBA Doing business as | |
| Authorized official | Ufondu, Solibe Chikaodili Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Mar 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144251745 | NPPES |
| Pennsylvania | Other | 001318932 | HIGHMARK |
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