| Suburban Endocrinology Associates, Pc | |
|
21 Industrial Blvd Suite 101 Paoli PA 19301-1610 | |
| (610) 251-0300 | |
| (610) 251-0304 |
| Full Name | Suburban Endocrinology Associates, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 21 Industrial Blvd, Paoli, Pennsylvania |
| Authorized Official Name and Position | Fran Lopiccolo (OFFICE MANAGER) |
| Authorized Official Contact | 6106266317 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suburban Endocrinology Associates, Pc 21 Industrial Blvd Suite 101 Paoli PA 19301-1610 Ph: (610) 251-0300 | Suburban Endocrinology Associates, Pc 21 Industrial Blvd Suite 101 Paoli PA 19301-1610 Ph: (610) 251-0300 |
| NPI Number | 1568551984 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 10/14/2009 |
| Medicare PECOS PAC ID | 6507816600 |
|---|---|
| Medicare Enrollment ID | O20050126000913 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568551984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Marilyn Ryan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1386733780 PECOS PAC ID: 6305896416 Enrollment ID: I20050126000951 |
| Provider Name | Shalini Vijaykumar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1881827053 PECOS PAC ID: 5496910234 Enrollment ID: I20120629000306 |
| Provider Name | Amy Elizabeth Iwamaye |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1255575130 PECOS PAC ID: 5698930394 Enrollment ID: I20120703000080 |
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