Provider Demographics
NPI:1497294813
Name:MONTGOMERY COUNTY PULMONARY & SLEEP CONSULTANTS PC
Entity Type:Organization
Organization Name:MONTGOMERY COUNTY PULMONARY & SLEEP CONSULTANTS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FENSTERMACHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-366-4606
Mailing Address - Street 1:609 W GERMANTOWN PIKE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:EAST NORRITON
Mailing Address - State:PA
Mailing Address - Zip Code:19403-4243
Mailing Address - Country:US
Mailing Address - Phone:610-275-2446
Mailing Address - Fax:610-275-3266
Practice Address - Street 1:609 W GERMANTOWN PIKE
Practice Address - Street 2:SUITE 210
Practice Address - City:EAST NORRITON
Practice Address - State:PA
Practice Address - Zip Code:19403-4243
Practice Address - Country:US
Practice Address - Phone:610-275-2446
Practice Address - Fax:610-275-3266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-17
Last Update Date:2017-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Single Specialty