Provider Demographics
NPI:1336159136
Name:KANTOR CURLEY PEDAITRIC ASSOCIATES, PC
Entity Type:Organization
Organization Name:KANTOR CURLEY PEDAITRIC ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:G
Authorized Official - Last Name:KANTOR
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:215-379-3026
Mailing Address - Street 1:1251 RED RAMBLER RD
Mailing Address - Street 2:
Mailing Address - City:RYDAL
Mailing Address - State:PA
Mailing Address - Zip Code:19046-2916
Mailing Address - Country:US
Mailing Address - Phone:215-517-7877
Mailing Address - Fax:215-672-7042
Practice Address - Street 1:205 NEWTOWN RD
Practice Address - Street 2:SUITE 210
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-5275
Practice Address - Country:US
Practice Address - Phone:215-672-7272
Practice Address - Fax:215-672-7042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS003487L2080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0008441070004Medicaid
PA0008441070004Medicaid