Southampton Medical Practice Pc in Southampton - Internal Medicine
Southampton Medical Practice Pc - NPI 1336289115
Southampton Medical Practice Pc is a Internal Medicine in Southampton, Pennsylvania. Southampton Medical Practice Pc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Southampton Medical Practice Pc is 1336289115. The last update date is 2020-08-22.
Southampton Medical Practice Pc's current location address is 763 Grove Ave, Southampton, Pennsylvania. You can contact this provider via phone number 2153570733 and fax number 2153571434. The mailing address for Southampton Medical Practice Pc is 763 Grove Ave, Southampton, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southampton Medical Practice Pc |
|---|---|
| Address | 763 Grove Ave, Southampton, Pennsylvania |
| Phone Number | 2153570733 |
| Fax Number | 2153571434 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Chin Byoung Kwon |
| Credentials | MD |
| Telephone Number | 2153570733 |
NPI Number Detail
| NPI Number | 1336289115 |
|---|---|
| Provider Enumeration Date | 2007-02-08 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 763 Grove Ave |
|---|---|
| City | Southampton |
| State | Pennsylvania (PA) |
| Post Code | 189663438 |
| Phone Number | 2153570733 |
| Fax Number | 2153571434 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| KEYSTONE HEALTH | PA | 22074001 |
Post Comment/ Review Below
What is the unique identifier code issued to Southampton Medical Practice Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Southampton Medical Practice Pc has been assigned the NPI (National Provider Identifier) 1336289115. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Southampton Medical Practice Pc is physically located?
The Southampton Medical Practice Pc is situated at the following address: 763 Grove Ave, Southampton, PA 189663438.
What is Southampton Medical Practice Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Southampton Medical Practice Pc is Internal Medicine, and the taxonomy code that categorizes this field of expertise is 207R00000X.
On what date did the Southampton Medical Practice Pc receive the assignment of its 1336289115 from the Centers for Medicare & Medicaid Services?
The Southampton Medical Practice Pc was issued its 1336289115 by the Centers for Medicare & Medicaid Services on 2007-02-08.
When was the Southampton Medical Practice Pc's information last updated?
The Southampton Medical Practice Pc's information was last updated on 2020-08-22.