Pediatric Pulmonary Associates P.A.

LBN: Pediatric Pulmonary Associates P.A.
Pediatric Pulmonary Associates P.A. is an health care organization with primary practice located at 3401 Civic Center Blvd , Philadelphia PA 19104-4319. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pulmonology, which is considered as the primary health care specialty. Pediatric Pulmonary Associates P.A. can be contacted via phone (215) 590-1000, or through Ewig, Jeffrey via phone (727) 767-4146.

Contact Information

Primary practice address
3401 Civic Center Blvd Philadelphia PA 19104-4319
Phone: (215) 590-1000
Fax: (215) 590-3500
Website:
Map and Directions
Authorized official contact:
Name: Ewig, Jeffrey Doctor of Medicine (MD)
Phone: (727) 767-4146

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X

Profile Details

NPI number 1518948488
LBN Legal business name Pediatric Pulmonary Associates P.A.
DBA Doing business as
Authorized official Ewig, Jeffrey Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2005
Last updated Nov 26th, 2018 - about 8 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 1518948488 NPPES
Pennsylvania MEDICAID 1029947970001

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