East West Medical Group Llc

LBN: East West Medical Group Llc
East West Medical Group Llc is an health care organization with primary practice located at 208 Lifeline Rd Suite 102, Stroudsburg PA 18360-6419. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. East West Medical Group Llc can be contacted via phone (570) 420-5435, or through Memon, Parvez via phone (570) 420-5435.

Contact Information

Primary practice address
208 Lifeline Rd Suite 102 Stroudsburg PA 18360-6419
Phone: (570) 420-5435
Fax: (570) 420-5437
Website:
Map and Directions
Authorized official contact:
Name: Memon, Parvez Doctor of Medicine (MD)
Phone: (570) 420-5435

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD058888L Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD066364L Pennsylvania

Profile Details

NPI number 1346377033
LBN Legal business name East West Medical Group Llc
DBA Doing business as
Authorized official Memon, Parvez Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2007
Last updated Jan 26th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346377033 NPPES
Pennsylvania MEDICAID 0017538850001

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