Provider Demographics
NPI:1306930383
Name:ASTHMA, ALLERGY & IMMUNOLOGY OF CHESTER COUNTY, LTD.
Entity type:Organization
Organization Name:ASTHMA, ALLERGY & IMMUNOLOGY OF CHESTER COUNTY, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:W
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-436-5491
Mailing Address - Street 1:1065 ANDREW DR
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-4293
Mailing Address - Country:US
Mailing Address - Phone:610-436-5491
Mailing Address - Fax:610-436-6530
Practice Address - Street 1:1065 ANDREW DR
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-4293
Practice Address - Country:US
Practice Address - Phone:610-436-5491
Practice Address - Fax:610-436-6530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2013-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1356664OtherBLUE SHIELD GROUP
PA2054795000OtherGROUP INDEPENDENCE BLUES
PA1356664OtherBLUE SHIELD GROUP