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Individual

MR. DAVID IMPERATORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
(706) 650-0705
Mailing address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
(706) 650-0705

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
26NO11347600
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
RN616965
PA

Other

Enumeration date
08/27/2013
Last updated
08/27/2013
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