Provider Demographics
NPI:1770164774
Name:CENTRAL BUCKS RHEUMATOLOGY INFUSION CENTER
Entity type:Organization
Organization Name:CENTRAL BUCKS RHEUMATOLOGY INFUSION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHERILYN
Authorized Official - Middle Name:LISA
Authorized Official - Last Name:TITTERMARY MCCOLLUM
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:267-483-8094
Mailing Address - Street 1:2313 OAKFIELD RD
Mailing Address - Street 2:
Mailing Address - City:WARRINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:18976-2010
Mailing Address - Country:US
Mailing Address - Phone:215-630-7181
Mailing Address - Fax:
Practice Address - Street 1:1456 FERRY RD STE 403A
Practice Address - Street 2:
Practice Address - City:NEW BRITAIN
Practice Address - State:PA
Practice Address - Zip Code:18901-2391
Practice Address - Country:US
Practice Address - Phone:267-483-8094
Practice Address - Fax:267-483-8312
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-20
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
No261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion TherapyGroup - Single Specialty