Provider Demographics
NPI:1457308314
Name:KIDNEY AND HYPERTENSION ASSOCIATES P C
Entity Type:Organization
Organization Name:KIDNEY AND HYPERTENSION ASSOCIATES P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:BRESSLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-741-3510
Mailing Address - Street 1:PO BOX 538
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19058-0538
Mailing Address - Country:US
Mailing Address - Phone:215-741-3510
Mailing Address - Fax:215-741-3519
Practice Address - Street 1:825 TOWN CENTER DR
Practice Address - Street 2:SUITE 152
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1753
Practice Address - Country:US
Practice Address - Phone:215-741-3510
Practice Address - Fax:215-741-3519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-27
Last Update Date:2013-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1770748469OtherNPI
PA0015387990005Medicaid
PA0015387990005Medicaid