Provider Demographics
NPI:1235175613
Name:BUX-MONT ALLERGY & ASTHMA LLC
Entity Type:Organization
Organization Name:BUX-MONT ALLERGY & ASTHMA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WARDEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HWAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-257-5000
Mailing Address - Street 1:711 LAWN AVE
Mailing Address - Street 2:STE 6
Mailing Address - City:SELLERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18960-1508
Mailing Address - Country:US
Mailing Address - Phone:215-257-5000
Mailing Address - Fax:215-453-8223
Practice Address - Street 1:620 W CHESTNUT ST STE 201
Practice Address - Street 2:
Practice Address - City:PERKASIE
Practice Address - State:PA
Practice Address - Zip Code:18944-1307
Practice Address - Country:US
Practice Address - Phone:215-257-0000
Practice Address - Fax:215-453-8223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-22
Last Update Date:2019-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD072638L207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA067744Medicare ID - Type Unspecified
PAH79496Medicare UPIN