Provider Demographics
NPI:1437563905
Name:PHYSICAL MEDICINE PHYSICIANS, PC
Entity Type:Organization
Organization Name:PHYSICAL MEDICINE PHYSICIANS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMASKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-490-3900
Mailing Address - Street 1:1 E BEACON LIGHT LN
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19013-4433
Mailing Address - Country:US
Mailing Address - Phone:610-490-3900
Mailing Address - Fax:610-490-3904
Practice Address - Street 1:1 E BEACON LIGHT LN
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19013-4433
Practice Address - Country:US
Practice Address - Phone:610-490-3900
Practice Address - Fax:610-490-3904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-12
Last Update Date:2014-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Multi-Specialty