Provider Demographics
NPI:1013017219
Name:R & B MEDICAL MANAGEMENT, INC
Entity Type:Organization
Organization Name:R & B MEDICAL MANAGEMENT, INC
Other - Org Name:INDUSTRIAL HEALTHCARE CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:CLINICAL COORDINATOR/OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHADE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:215-291-3059
Mailing Address - Street 1:100 E LEHIGH AVE
Mailing Address - Street 2:MAB SUITE L06
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19125-1012
Mailing Address - Country:US
Mailing Address - Phone:215-291-3056
Mailing Address - Fax:215-425-1487
Practice Address - Street 1:2301 E ALLEGHENY AVE
Practice Address - Street 2:NORTHEASTERN HOSPITAL
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19134-4427
Practice Address - Country:US
Practice Address - Phone:215-291-3056
Practice Address - Fax:215-425-1487
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD036450L261QX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine