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Organization
A J TOLBERT & ASSOCIATES INC
Active
Organization
A J TOLBERT & ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFRED JAMES TOLBERT PHD (PRESIDENT)
(610) 269-6100
Entity
Organization
Contact information
Practice address
1100 SHADOW WOOD DR, DOWNINGTOWN, PA 19335-4049
(610) 269-6100
(610) 873-6687
Mailing address
1100 SHADOW WOOD DR, DOWNINGTOWN, PA 19335-4049
(610) 269-6100
(610) 873-6687
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AT00281L
PA
235Z00000X
Speech-Language Pathologist
SL000071L
PA
332B00000X
Durable Medical Equipment & Medical Supplies
D00378
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001511227
INDEP BLUE CROSS
PA
01
—
0001511228
IBC PPO INDEP BLUE CROSS
PA
01
—
0027032000
KEYSTONE HEALTH PLAN EAST
PA
01
—
0342973000
KEYSTONE HEALTH PLAN EAST
PA
05
—
101422710 0002
—
PA
05
—
101427710 0001
—
PA
05
—
101427710 0003
—
PA
01
—
30005306
KEYSTONE MERCY
PA
01
—
4360649
AETNA AUD
PA
Enumeration date
11/02/2005
Last updated
08/23/2007
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