1689029191 NPI number — ALLIED MEDICAL ASSOCIATES, P.C.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689029191 NPI number — ALLIED MEDICAL ASSOCIATES, P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALLIED MEDICAL ASSOCIATES, P.C.
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:
Provider Other Organization Name Type Code:
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:
1689029191
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/03/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
333 E CITY AVE
Provider Second Line Business Mailing Address:
2 BALA PLAZA SUITE PL-18
Provider Business Mailing Address City Name:
BALA CYNWYD
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19004-1501
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-342-1153
Provider Business Mailing Address Fax Number:
215-877-2298

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
333 E CITY AVE
Provider Second Line Business Practice Location Address:
2 BALA PLAZA SUITE PL-18
Provider Business Practice Location Address City Name:
BALA CYNWYD
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19004-1501
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-342-1153
Provider Business Practice Location Address Fax Number:
215-877-2298
Provider Enumeration Date:
05/03/2016

Additional Information

Authorized Official

Authorized Official Last Name:
EHRLICH
Authorized Official First Name:
BRYAN
Authorized Official Middle Name:
H
Authorized Official Title or Position:
VICE PRESIDENT
Authorized Official Telephone Number:
856-419-7460

Provider Taxonomy Codes

  • Taxonomy code: 208100000X , with the licence number:  MD038491L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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