Organization
ROOSEVELT EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC P. STANDER MD (MEDICAL DIRECTOR)
(215) 335-6150
Entity
Organization
Contact information
Practice address
2601 HOLMES AVEUNE, PHILADELPHIA, PA 19152
(215) 335-6150
(215) 335-1832
Mailing address
100 WITMER RD, SUITE 220, HORSHAM, PA 19044-2211
(215) 442-5051
(215) 957-2875
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019172260001
—
PA
Enumeration date
05/17/2006
Last updated
04/20/2008
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