Provider Demographics
NPI:1942442553
Name:READING DERMATOLOGY ASSOCIATES PC
Entity Type:Organization
Organization Name:READING DERMATOLOGY ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:ERROL
Authorized Official - Last Name:HENDRIX
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:610-750-7891
Mailing Address - Street 1:3317 PENN AVE
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19609-1436
Mailing Address - Country:US
Mailing Address - Phone:107-507-8916
Mailing Address - Fax:610-750-7896
Practice Address - Street 1:3317 PENN AVE
Practice Address - Street 2:
Practice Address - City:WEST LAWN
Practice Address - State:PA
Practice Address - Zip Code:19609-1436
Practice Address - Country:US
Practice Address - Phone:610-750-7891
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-27
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD008407E207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1336317346OtherNPI HENDRIX A
PA119570OtherHENDRIX MEDICARE
1861487449OtherNPI SCHLEICHER
PA429860OtherBURGET MEDICARE
1164402475OtherNPI BURGET
PA132147OtherMEDICARE SCHLEICHER
1407037237OtherNPI HENDRIX J
1164402475OtherNPI BURGET