# DELAWARE VALLEY AESTHETICS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124350541
- **Authorized official:** DR. KATHY LYNN RUMER D.O. (PRESIDENT)
- **Authorized official phone:** (610) 667-6441

## Contact information

- **Practice address:** 19 MONTGOMERY AVE, BALA CYNWYD, PA 19004-2601
- **Practice address phone:** (610) 667-6441
- **Practice address fax:** (610) 664-3182
- **Mailing address:** 19 MONTGOMERY AVE, BALA CYNWYD, PA 19004-2601
- **Mailing address phone:** (610) 667-6441
- **Mailing address fax:** (610) 664-3182

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | OS012060 | PA | Yes |

## Other

- **Enumeration date:** 02/10/2010
- **Last updated:** 02/10/2010