Organization
INTERNAL MEDICINE ASSOCIATES, P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA CILETTI (PRACTICE MANAGER)
(610) 869-3620
Entity
Organization
Contact information
Practice address
1011 W BALTIMORE PIKE, SUITE 301, WEST GROVE, PA 19390-9446
(610) 869-3620
(610) 869-0358
Mailing address
1011 W BALTIMORE PIKE, SUITE 301, WEST GROVE, PA 19390-9446
(610) 869-3620
(610) 869-0358
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
OS004477L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00128877600001
—
PA
Enumeration date
12/19/2006
Last updated
02/15/2008
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