Provider Demographics
NPI:1518972264
Name:FIVE POINT MEDICAL LTD
Entity Type:Organization
Organization Name:FIVE POINT MEDICAL LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:P
Authorized Official - Last Name:ROCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-692-5420
Mailing Address - Street 1:E P ROCK D O
Mailing Address - Street 2:19 TURNER LANE EMBASSY COURT
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380
Mailing Address - Country:US
Mailing Address - Phone:610-692-5420
Mailing Address - Fax:610-692-1882
Practice Address - Street 1:E P ROCK D O
Practice Address - Street 2:19 TURNER LANE EMBASSY COURT
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380
Practice Address - Country:US
Practice Address - Phone:610-692-5420
Practice Address - Fax:610-692-1882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAE79094Medicare UPIN
PA1518972264Medicare PIN