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Individual

MICHAEL FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1500 LANSDOWNE AVE, DARBY, PA 19023-1200
(610) 237-4500
(856) 423-0823
Mailing address
PO BOX 820137, PHILADELPHIA, PA 19182-0137
(610) 270-2717
(610) 270-2675

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN504510L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001867376
PA
01
P00365592
RAILROAD MEDICARE PIN
Enumeration date
06/15/2006
Last updated
03/04/2008
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