Provider Demographics
NPI:1629188271
Name:CFL ASSOCIATES - BRYN MAWR
Entity Type:Organization
Organization Name:CFL ASSOCIATES - BRYN MAWR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:KOWEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:484-476-2684
Mailing Address - Street 1:P.O. BOX 536066
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15253-5902
Mailing Address - Country:US
Mailing Address - Phone:610-734-0611
Mailing Address - Fax:610-734-0874
Practice Address - Street 1:130 S BRYN MAWR AVE
Practice Address - Street 2:
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-3121
Practice Address - Country:US
Practice Address - Phone:484-476-2684
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2014-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA617824Medicare ID - Type Unspecified
PA617824Medicare PIN