Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Suburban Medical Group LLC

Organization Anesthesiology Physician · NPI 1710355029

Suburban Medical Group LLC is an Anesthesiology Physician in East Norriton, Pennsylvania. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
8
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2701 Dekalb Pike
East Norriton, PA 19401-1820
Phone: (610) 278-2002
Fax: (610) 272-4642
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Anesthesiology Physician Taxonomy 207L00000X
Emergency Medicine Physician Taxonomy 207P00000X
Internal Medicine Physician Taxonomy 207R00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Pediatrics Physician Taxonomy 208000000X
Surgery Physician Taxonomy 208600000X
Certified Registered Nurse Anesthetist Taxonomy 367500000X

Record details

NPI number1710355029
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Doan — Managing Associate General Counsel · (310) 259-4706
NPI enumeratedSeptember 3, 2015
Last updated in NPPESOctober 25, 2023
Certification dateOctober 25, 2023
Mailing address2701 Dekalb Pike, East Norriton, PA 19401-1820

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