Provider Demographics
NPI:1306019450
Name:LOFTS MEDICAL ASSOCIATES,PC
Entity type:Organization
Organization Name:LOFTS MEDICAL ASSOCIATES,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TEJ
Authorized Official - Middle Name:
Authorized Official - Last Name:KOKROO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-757-8100
Mailing Address - Street 1:170 MIDDLETOWN BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-3200
Mailing Address - Country:US
Mailing Address - Phone:215-757-8100
Mailing Address - Fax:215-757-7358
Practice Address - Street 1:170 MIDDLETOWN BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-3200
Practice Address - Country:US
Practice Address - Phone:215-757-8100
Practice Address - Fax:215-757-7358
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-09
Last Update Date:2013-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty