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Organization
SUBURBAN MULTISPECIALTY LIMITED, LLC
Active
Organization
SUBURBAN MULTISPECIALTY LIMITED, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW SCOTT KIRSCHNER D.O. (PRESIDENT/OWNER)
(610) 667-4080
Entity
Organization
Contact information
Practice address
1 BELMONT AVE, SUITE 416, BALA CYNWYD, PA 19004-1617
(610) 667-4080
(610) 667-2748
Mailing address
1 BELMONT AVE, SUITE 416, BALA CYNWYD, PA 19004-1617
(610) 667-4080
(610) 667-2748
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
NULL
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
—
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
—
NULL
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
—
—
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
—
NULL
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
—
—
231H00000X
Audiologist
—
NULL
231H00000X
Audiologist
—
—
Other
Enumeration date
10/13/2006
Last updated
07/31/2014
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