Basic Information
| Provider Information | |||||||||
| NPI: | 1104952464 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MEADOWBROOK PULMONARY ASSOCIATES PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1650 HUNTINGDON PIKE | ||||||||
| Address2: | SUITE 305 | ||||||||
| City: | MEADOWBROOK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 19046 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2159476404 | ||||||||
| FaxNumber: | 2159479883 | ||||||||
| Practice Location | |||||||||
| Address1: | 1650 HUNTINGDON PIKE | ||||||||
| Address2: | SUITE 305 | ||||||||
| City: | MEADOWBROOK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 19046 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2159476404 | ||||||||
| FaxNumber: | 2159479883 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/23/2007 | ||||||||
| LastUpdateDate: | 08/10/2011 | ||||||||
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| AuthorizedOfficialLastName: | DHAND | ||||||||
| AuthorizedOfficialFirstName: | SANDEEP | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 2159476404 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0200X | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine | 207RS0012X | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Sleep Medicine | 207RP1001X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease |
No ID Information.