Organization
DELAWARE VALLEY AESTHETICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHY LYNN RUMER D.O. (PRESIDENT)
(610) 667-6441
Entity
Organization
Contact information
Practice address
19 MONTGOMERY AVE, BALA CYNWYD, PA 19004-2601
(610) 667-6441
(610) 664-3182
Mailing address
19 MONTGOMERY AVE, BALA CYNWYD, PA 19004-2601
(610) 667-6441
(610) 664-3182
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
OS012060
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020333620001
—
PA
Enumeration date
02/10/2010
Last updated
02/10/2010
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