Organization
PULMONARY ASSOCIATES OF DREXEL HILL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY KELLEY (OFFICE MANAGER)
(610) 394-9860
Entity
Organization
Contact information
Practice address
2100 KEYSTONE AVE, SUITE 309, DREXEL HILL, PA 19026-1129
(610) 394-9860
(610) 394-9922
Mailing address
2100 KEYSTONE AVE, SUITE 309, DREXEL HILL, PA 19026-1129
(610) 394-9860
(610) 394-9922
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011579070007
—
PA
Enumeration date
08/24/2005
Last updated
08/22/2020
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