Provider Demographics
NPI:1316090517
Name:THE READING NECK AND SPINE CENTER
Entity type:Organization
Organization Name:THE READING NECK AND SPINE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES, READING NECK AND SPINE
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:ABRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-372-1140
Mailing Address - Street 1:1270 BROADCASTING RD
Mailing Address - Street 2:
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-3203
Mailing Address - Country:US
Mailing Address - Phone:610-372-1140
Mailing Address - Fax:610-372-7684
Practice Address - Street 1:1270 BROADCASTING RD
Practice Address - Street 2:
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-3203
Practice Address - Country:US
Practice Address - Phone:610-372-1140
Practice Address - Fax:610-372-7684
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE READING NECK AND SPINE CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-19
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA02660500OtherCAPITAL BC PROVIDER #
PADA6715OtherRAILROAD MEDICARE
PA1749717OtherHIGHMARK PROVIDER #
PA1749717OtherHIGHMARK PROVIDER #