Organization
DELAWARE VALLEY INSTITUTE OF FERTILITY & GENETICS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE S TALIADOUROS MD (PRESIDENT)
(856) 988-0072
Entity
Organization
Contact information
Practice address
6000 SAGEMORE DR, SUITE 6102, MARLTON, NJ 08053-3900
(856) 988-0072
(856) 988-7308
Mailing address
6000 SAGEMORE DR, SUITE 6102, MARLTON, NJ 08053-3900
(856) 988-0072
(856) 988-7308
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0552097
AETNA INS
NJ
01
—
0720738000
AMERIHEALTH
NJ
Enumeration date
05/03/2006
Last updated
02/28/2013
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