Organization
LIMA GERONTOLOGY ASSOCIATES LLP
Active
Organization
LIMA GERONTOLOGY ASSOCIATES LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD LESLIE BARRIOS MD (MANAGING PARTNER LIMA GERONTOLOGY A)
(610) 622-7159
Entity
Organization
Contact information
Practice address
340 N MIDDLETOWN RD, FAIR ACRES GERIATRIC CENTER, LIMA, PA 19037
(610) 565-7810
(610) 565-0546
Mailing address
1098 W BALTIMORE PIKE, STE 3311, MEDIA, PA 19063
(610) 565-7810
(610) 565-0546
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013299060001
—
PA
01
—
DC5598
PALMETTO GBA
—
01
—
DC5756
PALMETTO GBA
—
01
—
L11678226
HIGHMARK BLUE SHIELD
PA
Enumeration date
05/12/2006
Last updated
04/25/2008
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