Provider Demographics
NPI:1104025709
Name:ENDOCRINOLOGY ASSOCIATES, LLC
Entity Type:Organization
Organization Name:ENDOCRINOLOGY ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-657-5500
Mailing Address - Street 1:3 VILLAGE ROAD
Mailing Address - Street 2:STE 10
Mailing Address - City:HORSHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19044
Mailing Address - Country:US
Mailing Address - Phone:609-921-1511
Mailing Address - Fax:609-921-3316
Practice Address - Street 1:3 VILLAGE ROAD
Practice Address - Street 2:STE 10
Practice Address - City:HORSHAM
Practice Address - State:PA
Practice Address - Zip Code:19044
Practice Address - Country:US
Practice Address - Phone:215-657-5500
Practice Address - Fax:215-657-4782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-13
Last Update Date:2012-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07908000207RE0101X
PAMD430753207RE0101X
PAMD026000E207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty