Provider Demographics
NPI:1184750614
Name:BUCKS CNTY ALLERGY & ASTHMA ASSC PC
Entity type:Organization
Organization Name:BUCKS CNTY ALLERGY & ASTHMA ASSC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL BILLER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KARIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:RICHARDS
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:215-750-0315
Mailing Address - Street 1:370 MIDDLETOWN BOULEVARD
Mailing Address - Street 2:QXFORD SQUARE SUITE 504
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-1840
Mailing Address - Country:US
Mailing Address - Phone:215-750-0315
Mailing Address - Fax:215-702-1062
Practice Address - Street 1:370 MIDDLETOWN BOULEVARD QXFORD SQUARE SUITE 504
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1840
Practice Address - Country:US
Practice Address - Phone:215-750-0315
Practice Address - Fax:215-702-1062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS003700L207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
2114609000OtherKEYSTONE
PA2114609000OtherPERSONAL CHOICE
PA2114609000OtherPERSONAL CHOICE