Provider Demographics
NPI:1003056482
Name:A & T MEDICAL PC
Entity Type:Organization
Organization Name:A & T MEDICAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORGANIZATION MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:PIROLLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-348-4002
Mailing Address - Street 1:54 E OAKLAND AVE
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-4651
Mailing Address - Country:US
Mailing Address - Phone:215-348-4002
Mailing Address - Fax:215-348-4910
Practice Address - Street 1:54 E OAKLAND AVE
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-4651
Practice Address - Country:US
Practice Address - Phone:215-348-4002
Practice Address - Fax:215-348-4910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-25
Last Update Date:2009-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD430033207PE0004X, 207PS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PS0010XAllopathic & Osteopathic PhysiciansEmergency MedicineSports MedicineGroup - Multi-Specialty
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA121902Medicare PIN