Provider Demographics
NPI:1073534939
Name:RESPIRATORY ASSOCIATES, LTD
Entity Type:Organization
Organization Name:RESPIRATORY ASSOCIATES, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN ASST
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-896-0280
Mailing Address - Street 1:1001 CITY AVE
Mailing Address - Street 2:WB 113
Mailing Address - City:WYNNEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19096-3902
Mailing Address - Country:US
Mailing Address - Phone:610-896-0280
Mailing Address - Fax:610-896-0286
Practice Address - Street 1:1001 CITY AVE
Practice Address - Street 2:WB 113
Practice Address - City:WYNNEWOOD
Practice Address - State:PA
Practice Address - Zip Code:19096-3902
Practice Address - Country:US
Practice Address - Phone:610-896-0280
Practice Address - Fax:610-896-0286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-23
Last Update Date:2018-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000801585001Medicaid
PARE405710Medicare ID - Type Unspecified