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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