MEDICARE: MONTGOMERY COUNTY MEDICAL ASSOCIATES, LTD.

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	311Z00000X	Custodial Care Facility
2	207R00000X	Internal Medicine Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CF3420	OTHER	PA	RAILROAD MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1871530618
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MONTGOMERY COUNTY MEDICAL ASSOCIATES, LTD.

Provider Business Mailing Address
First Line	:	1650 HUNTINGDON PIKE
Second Line	:	SUITE 156
City	:	MEADOWBROOK
State	:	PA
Zip	:	19046-8004
Country	:	US
Telephone Number	:	215-947-7924
Fax Number	:	215-947-0187

Provider Business Practice Location Address
First Line	:	1650 HUNTINGDON PIKE
Second Line	:	SUITE 156
City	:	MEADOWBROOK
State	:	PA
Zip	:	19046-8004
Country	:	US
Telephone Number	:	215-947-7924
Fax Number	:	215-947-0187

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	DR. GUY E MCELWAIN JR.
Credential	:	M.D.
Telephone Number	:	215-947-7924

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	09/26/2013

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Directions to “MONTGOMERY COUNTY MEDICAL ASSOCIATES, LTD. ” Practice Location

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