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Organization

PROVIDENCE MEDICAL ASSOCIATES, INC

Active
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Organization

PROVIDENCE MEDICAL ASSOCIATES, INC

Active
Other names
Kessler Kessler Greco & Assoc
Organization subpart
No

Provider details

NPI number
Authorized official
DR. REX K KESSLER MD (OWNER MEDICAL DIRECTOR)
(610) 876-2300
Entity
Organization

Contact information

Practice address
2901 DUTTON MILL RD, STE 110, ASTON, PA 19014-2849
(610) 876-2300
(610) 876-3004
Mailing address
PO BOX 1897, BOOTHWYN, PA 19061-7897
(610) 876-2300
(610) 876-3004

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD020904E
PA
207R00000X
Internal Medicine Physician
MD035193E
PA

Other

Enumeration date
07/06/2006
Last updated
10/03/2012
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