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General NPI Number Information
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NPI Number | 1770164774
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Entity Type | Organization
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Legal Business Name | CENTRAL BUCKS RHEUMATOLOGY INFUSION CENTER
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Dates
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Enumeration Date | 04/20/2021
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Last Update Date | 05/03/2021
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Provider Practice Location Address
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Address Line | 1456 FERRY RD STE 403A
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City | NEW BRITAIN
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State | PA
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Zip | 18901-2391
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Country | US
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Telephone | 267-483-8094
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Fax | 267-483-8312
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Provider Business Mailing Address
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Address Line | 2313 OAKFIELD RD
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City | WARRINGTON
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State | PA
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Zip | 18976-2010
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Country | US
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Telephone | 215-630-7181
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SHERILYN LISA TITTERMARY MCCOLLUM
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Credential | DO
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Telephone | 267-483-8094
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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