County Line Medical Associates PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS-008558L Issued in PA

Legal business name

COUNTY LINE MEDICAL ASSOCIATES PC

Practice address

706 S County Line Rd
Telford, PA 18969-1108

Phone

(215) 723-7300

Fax

(215) 723-8022

NPI assigned

Nov 10, 2010

Last updated

Mar 31, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brian Resnick, D.O.NPI 1144305012

Title

Owner

Phone

(215) 723-7300

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian M Resnick, DO

  • Internal Medicine Physician
  • Telford, PA
  • NPI 1144305012
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1508167271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 S COUNTY LINE RD",
            "city": "TELFORD",
            "state": "PA",
            "postal_code": "189691108",
            "telephone_number": "215-723-7300",
            "fax_number": "215-723-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 S COUNTY LINE RD",
            "city": "TELFORD",
            "state": "PA",
            "postal_code": "189691108",
            "telephone_number": "215-723-7300",
            "fax_number": "215-723-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY LINE MEDICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "RESNICK",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-723-7300",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS-008558L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra J Carroll, CRNP
• Stephanie J Carver, RN BSN
• Clarence L Freed, MDPC
• Nicole Cochran, DPT
• Hal D Cohan, MD
• Stephanie D Crecca, PT
• Gwendolyn Damiani
• DCS Applied Behavior Analysis, LLC
• Delval Integrative Health Partners, LLC
• Denise Primavera D.C., P.C.

• Internal Medicine Physician in Telford, PA
• Providers in Telford, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.