Southampton Medical Practice Pc

LBN: Southampton Medical Practice Pc
Southampton Medical Practice Pc is an health care organization with primary practice located at 763 Grove Ave , Southampton PA 18966-3438. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Southampton Medical Practice Pc can be contacted via phone (215) 357-0733, or through Chin, Byoung Kwon via phone (215) 357-0733.

Contact Information

Primary practice address
763 Grove Ave Southampton PA 18966-3438
Phone: (215) 357-0733
Fax: (215) 357-1434
Website:
Map and Directions
Authorized official contact:
Name: Chin, Byoung Kwon Doctor of Medicine (MD)
Phone: (215) 357-0733

Health care specialties

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

Profile Details

NPI number 1336289115
LBN Legal business name Southampton Medical Practice Pc
DBA Doing business as
Authorized official Chin, Byoung Kwon Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1336289115 NPPES
Pennsylvania Other KEYSTONE HEALTH PLAN 0022074001

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