Organization
BOOTHWYN MEDICAL ASSOCIATES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODNEY M. ELKIN M.D. (PHYSICIAN/PRESIDENT)
(610) 459-3722
Entity
Organization
Contact information
Practice address
1440 CONCHESTER HWY, SUITE 5A, BOOTHWYN, PA 19061-2124
(610) 459-3722
(610) 459-4730
Mailing address
1440 CONCHESTER HWY, SUITE 5A, BOOTHWYN, PA 19061-2124
(610) 459-3722
(610) 459-4730
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
MD038926L
PA
207R00000X
Internal Medicine Physician
Primary
MD030635E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012788500001
—
PA
Enumeration date
06/07/2006
Last updated
08/12/2011
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