Organization
ASSOCIATED MEDICAL SPECIALTIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MITCHELL I BALABAN (VICE PRESIDENT)
(215) 677-4486
Entity
Organization
Contact information
Practice address
2901 SOUTHAMPTON RD, PHILA, PA 19154-1208
(215) 677-4486
(215) 677-3644
Mailing address
2901 SOUTHAMPTON RD, PHILA, PA 19154-1208
(215) 677-4486
(215) 677-3644
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
8000000475
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008755420002
—
PA
05
—
0875542
—
PA
05
—
1000514900
—
NJ
01
—
202886
PREMIER BLUE
—
01
—
2598000
KEYSTONE HEALTH PLAN EAST
—
01
—
2671433
AETNA-HMO
—
05
—
3532909
—
NJ
01
—
5986470
AETNA-PPO
—
05
—
60430
—
NJ
05
—
60430
—
PA
Enumeration date
06/17/2005
Last updated
05/06/2011
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