Provider Demographics
NPI:1619992880
Name:OXFORD INTERNAL MEDICINE ASSOCIATES INC PC
Entity Type:Organization
Organization Name:OXFORD INTERNAL MEDICINE ASSOCIATES INC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARCHANA
Authorized Official - Middle Name:
Authorized Official - Last Name:KOKROO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-752-0626
Mailing Address - Street 1:328 MERION PL
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1642
Mailing Address - Country:US
Mailing Address - Phone:215-579-4480
Mailing Address - Fax:215-579-1229
Practice Address - Street 1:MIDDLETOWN BLVD, OXFORD SQUARE
Practice Address - Street 2:SUITE 502,
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047
Practice Address - Country:US
Practice Address - Phone:215-752-0626
Practice Address - Fax:215-752-0674
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD419747207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty