Organization
RONALD I CANTOR & WILLAIM BIERMANN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH ANTONINI (PRACTICE MANAGER)
(215) 955-6039
Entity
Organization
Contact information
Practice address
834 WALNUT ST, STE 110, PHILADELPHIA, PA 19107-5109
(215) 955-6039
(215) 955-5155
Mailing address
834 WALNUT ST, STE 110, PHILADELPHIA, PA 19107-5109
(215) 955-6039
(215) 955-5155
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0061453000
INDEPENDENCE BLUE CROSS
PA
01
—
148658
RAILROAD MEDICARE
PA
01
—
52134
AETNA
PA
Enumeration date
10/24/2006
Last updated
07/10/2008
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