Provider Demographics
NPI:1225210875
Name:WOODBOURNE MEDICAL CENTER
Entity type:Organization
Organization Name:WOODBOURNE MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:PERRONE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:267-852-2110
Mailing Address - Street 1:447 WOODBOURNE RD
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-4300
Mailing Address - Country:US
Mailing Address - Phone:267-852-2110
Mailing Address - Fax:
Practice Address - Street 1:447 WOODBOURNE RD
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-4300
Practice Address - Country:US
Practice Address - Phone:267-852-2110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-05
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty