Provider Demographics
NPI:1437220837
Name:SEGAL AARONSON PULMONARY ASSOCIATES PC
Entity Type:Organization
Organization Name:SEGAL AARONSON PULMONARY ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:AARONSON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:215-612-8500
Mailing Address - Street 1:3998 RED LION ROAD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19114
Mailing Address - Country:US
Mailing Address - Phone:215-612-8500
Mailing Address - Fax:215-612-2893
Practice Address - Street 1:3998 RED LION ROAD
Practice Address - Street 2:SUITE 250
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19114
Practice Address - Country:US
Practice Address - Phone:215-612-8500
Practice Address - Fax:215-612-2893
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-10
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018000090001Medicaid
PA409991Medicare PIN