Healthcare Provider Details

I. General information

NPI: 1114927605
Provider Name (Legal Business Name): NEONATOLOGY ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1205 LANGHORNE NEWTOWN RD
LANGHORNE PA
19047-1219
US

IV. Provider business mailing address

1205 LANGHORNE NEWTOWN RD
LANGHORNE PA
19047-1219
US

V. Phone/Fax

Practice location:
  • Phone: 215-710-5990
  • Fax: 215-710-5801
Mailing address:
  • Phone: 215-710-5990
  • Fax: 215-710-5801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberMD039329E
License Number StatePA

VIII. Authorized Official

Name: PREM K MARLAPUDI
Title or Position: DIRECTING PHYSICIAN
Credential: MD
Phone: 215-710-5990