MEDICARE: NEONATOLOGY ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080N0001X	Neonatal-Perinatal Medicine Physician	MD039329E	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114927605
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEONATOLOGY ASSOCIATES

Provider Business Mailing Address
First Line	:	1205 LANGHORNE NEWTOWN RD
Second Line	:
City	:	LANGHORNE
State	:	PA
Zip	:	19047-1219
Country	:	US
Telephone Number	:	215-710-5990
Fax Number	:	215-710-5801

Provider Business Practice Location Address
First Line	:	1205 LANGHORNE NEWTOWN RD
Second Line	:
City	:	LANGHORNE
State	:	PA
Zip	:	19047-1219
Country	:	US
Telephone Number	:	215-710-5990
Fax Number	:	215-710-5801

Authorized Official
Title or Position	:	DIRECTING PHYSICIAN
Name	:	PREM K MARLAPUDI
Credential	:	MD
Telephone Number	:	215-710-5990

Provider Enumeration Date	:	07/26/2005
Last Update Date	:	08/22/2020

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Directions to “NEONATOLOGY ASSOCIATES ” Practice Location

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