Provider Demographics
NPI:1225485121
Name:PMA MEDICAL SPECIALISTS, LLC
Entity Type:Organization
Organization Name:PMA MEDICAL SPECIALISTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CLAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-933-8000
Mailing Address - Street 1:542 N LEWIS RD
Mailing Address - Street 2:SUITE 207
Mailing Address - City:LIMERICK
Mailing Address - State:PA
Mailing Address - Zip Code:19468-3521
Mailing Address - Country:US
Mailing Address - Phone:610-933-8000
Mailing Address - Fax:610-917-1326
Practice Address - Street 1:542 N LEWIS RD
Practice Address - Street 2:SUITE 207
Practice Address - City:LIMERICK
Practice Address - State:PA
Practice Address - Zip Code:19468-3521
Practice Address - Country:US
Practice Address - Phone:610-933-8000
Practice Address - Fax:610-917-1326
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PMA MEDICAL SPECAILSITS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-05-20
Last Update Date:2016-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty