# EVELYN R. RUNER, M.D., FACE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Evelyn R Runer, MD, FACE, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386783603
- **Authorized official:** DR. EVELYN ROSARIO RUNER M.D. (OWNER)
- **Authorized official phone:** (215) 741-4016

## Contact information

- **Practice address:** 333 N. OXFORD VALLEY RD., SUITE 404, FAIRLESS HILLS, PA 19030
- **Practice address phone:** (215) 741-4016
- **Practice address fax:** (215) 741-4019
- **Mailing address:** 333 N. OXFORD VALLEY RD., SUITE 404, FAIRLESS HILLS, PA 19030
- **Mailing address phone:** (215) 741-4016
- **Mailing address fax:** (215) 741-4019

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | MD064046L | PA | Yes |

## Other

- **Enumeration date:** 02/05/2007
- **Last updated:** 10/13/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0019408500003 | — | PA |