MEDICARE: MONTGOMERY COUNTY PULMONARY AND SLEEP CONSULTANTS PC

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	207RP1001X	Pulmonary Disease Physician

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	:	1932156791
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MONTGOMERY COUNTY PULMONARY AND SLEEP CONSULTANTS PC

Provider Business Mailing Address
First Line	:	325 W GERMANTOWN PIKE STE 301
Second Line	:
City	:	EAST NORRITON
State	:	PA
Zip	:	19403-4207
Country	:	US
Telephone Number	:	610-275-2446
Fax Number	:	610-275-3266

Provider Business Practice Location Address
First Line	:	325 W GERMANTOWN PIKE STE 301
Second Line	:
City	:	EAST NORRITON
State	:	PA
Zip	:	19403-4207
Country	:	US
Telephone Number	:	610-275-2446
Fax Number	:	610-275-3266

Authorized Official
Title or Position	:	CREDENTIALING MANAGER
Name	:	DONNA MILLER
Credential	:
Telephone Number	:	570-366-4606

Provider Enumeration Date	:	05/27/2006
Last Update Date	:	06/14/2019

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