# FIRST AVENUE OCCUPATIONAL MEDICINE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467540286
- **Authorized official:** DR. RICHARD J BEAROFF MD (MEDICAL DIRECTOR/MANAGING PARTNER)
- **Authorized official phone:** (610) 265-3200

## Contact information

- **Practice address:** 860 1ST AVE, 7A, KING OF PRUSSIA, PA 19406-4033
- **Practice address phone:** (610) 265-3200
- **Practice address fax:** (610) 265-6522
- **Mailing address:** 860 1ST AVE, STE. 7A, KING OF PRUSSIA, PA 19406-4033
- **Mailing address phone:** (610) 265-3200
- **Mailing address fax:** (610) 265-6522

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | MD019365E | PA | Yes |

## Other

- **Enumeration date:** 10/10/2006
- **Last updated:** 06/16/2008