Pediatric Associates Of Plymouth INC.
Pediatrics in Plymouth Meeting, PA. Organization (NPI-2).
NPI number1477590263
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1477590263
- Entity type
- Organization (NPI-2)
- Legal business name
- Pediatric Associates Of Plymouth INC.
- Organization subpart
- No
- Enumeration date
- Jun 1, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | – | Yes |
Practice location
3031 Walton RdC101
Plymouth Meeting, PA 19462-2369
Phone 610-825-3502 · Fax 610-825-8502
Mailing address
3031 Walton RdC101
Plymouth Meeting, PA 19462-2369
Phone 610-825-3502 · Fax 610-825-8502
Authorized official
John B. Evans
Managing Partner
6108253502
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