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Organization
SUBURBAN MEDICAL GROUP LLC
Active
Organization
SUBURBAN MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DOAN (MANAGING ASSOCIATE GENERAL COUNSEL)
(310) 259-4706
Entity
Organization
Contact information
Practice address
2701 DEKALB PIKE, EAST NORRITON, PA 19401-1820
(610) 278-2002
(610) 272-4642
Mailing address
2701 DEKALB PIKE, EAST NORRITON, PA 19401-1820
(610) 278-2002
(610) 272-4642
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
09/03/2015
Last updated
10/25/2023
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