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Organization
IMA PROFESSIONAL SERVICES OF PA, PC
Active
Organization
IMA PROFESSIONAL SERVICES OF PA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID C PULVER (PRESIDENT)
(914) 323-0307
Entity
Organization
Contact information
Practice address
1930 S BROAD ST, SUITE 11, PHILADELPHIA, PA 19145-2328
(267) 758-2460
Mailing address
660 WHITE PLAINS RD, SUITE 630, TARRYTOWN, NY 10591-5139
(914) 323-0300
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251K00000X
Public Health or Welfare Agency
—
NULL
Other
Enumeration date
05/14/2015
Last updated
05/14/2015
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