Healthcare Provider Details
I. General information
NPI: 1114955010
Provider Name (Legal Business Name): EMERGENCY CARE SERVICES OF PENNSYLVANIA, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/29/2006
Last Update Date: 08/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1201 LANGHORNE-NEWTON ROAD
LANGHORNE PA
19047-1295
US
IV. Provider business mailing address
PO BOX 635111
CINCINNATI OH
45263-5111
US
V. Phone/Fax
- Phone: 215-710-2000
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JAMES
J
FLOWERS
Title or Position: DIRECTOR
Credential: D.O.
Phone: 856-848-3817