Provider Demographics
NPI:1760417638
Name:NORTHEAST PULMONARY AND CRITICAL CARE ASSOCIATES
Entity Type:Organization
Organization Name:NORTHEAST PULMONARY AND CRITICAL CARE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:STEINBACH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-634-5311
Mailing Address - Street 1:24 N BRYN MAWR AVE
Mailing Address - Street 2:SUITE 298
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-3304
Mailing Address - Country:US
Mailing Address - Phone:215-634-5311
Mailing Address - Fax:610-941-7155
Practice Address - Street 1:24 N BRYN MAWR AVE
Practice Address - Street 2:SUITE 298
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-3304
Practice Address - Country:US
Practice Address - Phone:215-634-5311
Practice Address - Fax:610-941-7155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD034920E207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA104933Medicare PIN