1801816152 NPI number — RESPIRATORY SPECIALISTS LTD

Table of content: (NPI 1801816152)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801816152 NPI number — RESPIRATORY SPECIALISTS LTD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RESPIRATORY SPECIALISTS LTD
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
BERKS SCHUYLKILL RESPIRATORY SPECIALISTS LTD
Provider Other Organization Name Type Code:
4
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1801816152
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/15/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2608 KEISER BLVD.
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WYOMISSING
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19610-3333
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-685-5864
Provider Business Mailing Address Fax Number:
610-929-1528

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2608 KEISER BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WYOMISSING
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19610-3333
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-685-5864
Provider Business Practice Location Address Fax Number:
610-929-1528
Provider Enumeration Date:
07/20/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MARIGLIO
Authorized Official First Name:
JOSEPH
Authorized Official Middle Name:
A
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
610-929-2433

Provider Taxonomy Codes

  • Taxonomy code: 207RC0200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RP1001X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207RS0012X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)