Executive Mews Pediatrics, Llc

LBN: Executive Mews Pediatrics, Llc
Executive Mews Pediatrics, Llc is an health care organization with primary practice located at 2300 Computer Ave Suite H-44, Willow Grove PA 19090-1742. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Executive Mews Pediatrics, Llc can be contacted via phone (215) 830-8870, or through Mahoney, Maria via phone (215) 830-8870.

Contact Information

Primary practice address
2300 Computer Ave Suite H-44 Willow Grove PA 19090-1742
Phone: (215) 830-8870
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mahoney, Maria Doctor of Medicine (MD)
Phone: (215) 830-8870

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD063137L Pennsylvania

Profile Details

NPI number 1437405602
LBN Legal business name Executive Mews Pediatrics, Llc
DBA Doing business as
Authorized official Mahoney, Maria Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2012
Last updated Jul 25th, 2012 - about 14 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 1437405602 NPPES
Pennsylvania MEDICAID 0017043070004

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