Provider Demographics
NPI:1689601023
Name:PERSONALIZED INTERNAL MEDICINE, P.C.
Entity Type:Organization
Organization Name:PERSONALIZED INTERNAL MEDICINE, P.C.
Other - Org Name:LOFTS INTERNAL MEDICINE, P.C.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:BYRNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-752-8889
Mailing Address - Street 1:970 TOWN CENTER DR.
Mailing Address - Street 2:SUITE C-15
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-4405
Mailing Address - Country:US
Mailing Address - Phone:215-752-8889
Mailing Address - Fax:215-757-5910
Practice Address - Street 1:970 TOWN CENTER DR.
Practice Address - Street 2:SUITE C-15
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047
Practice Address - Country:US
Practice Address - Phone:215-752-8889
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-28
Last Update Date:2008-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty