Provider Demographics
NPI:1518912468
Name:RDS REHABILITATION ASSOCIATES
Entity Type:Organization
Organization Name:RDS REHABILITATION ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:D
Authorized Official - Last Name:SCHARF
Authorized Official - Suffix:
Authorized Official - Credentials:MEDICAL DOCTOR
Authorized Official - Phone:215-644-8145
Mailing Address - Street 1:870 ANDORRA RD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19444-1703
Mailing Address - Country:US
Mailing Address - Phone:215-644-8145
Mailing Address - Fax:215-261-6000
Practice Address - Street 1:870 ANDORRA RD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE HILL
Practice Address - State:PA
Practice Address - Zip Code:19444-1703
Practice Address - Country:US
Practice Address - Phone:215-644-8145
Practice Address - Fax:215-261-6000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-22
Last Update Date:2015-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0070393480002Medicaid
PA697260Medicare ID - Type Unspecified
PA0070393480002Medicaid