Provider Demographics
NPI:1841381209
Name:JOHN J AYLWARD MD PC
Entity Type:Organization
Organization Name:JOHN J AYLWARD MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:AYLWARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-948-4298
Mailing Address - Street 1:600 CHURCH ST
Mailing Address - Street 2:FIRST FLOOR
Mailing Address - City:ROYERSFORD
Mailing Address - State:PA
Mailing Address - Zip Code:19468
Mailing Address - Country:US
Mailing Address - Phone:610-948-4298
Mailing Address - Fax:610-948-4331
Practice Address - Street 1:600 CHURCH ST
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:ROYERSFORD
Practice Address - State:PA
Practice Address - Zip Code:19468
Practice Address - Country:US
Practice Address - Phone:610-948-4298
Practice Address - Fax:610-948-4331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD025057E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA257828OtherBLUE CROSS
PA25918Medicare ID - Type Unspecified
PA257828OtherBLUE CROSS