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Organization

LANSDALE PEDIATRIC AND ADOLESCENT MEDICAL ASSOCIATES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDWARD GALENA MD (GENERAL PARTNER)
(215) 361-5040
Entity
Organization

Contact information

Practice address
1240 S BROAD ST STE 130, LANSDALE, PA 19446-5395
(215) 361-5040
(215) 393-5441
Mailing address
1240 S BROAD ST STE 130, LANSDALE, PA 19446-5395
(215) 361-5040
(215) 393-5441

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001364745
PA BLUE SHIELD
PA
05
0019014780001
PA
Enumeration date
01/24/2006
Last updated
03/17/2018
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