Organization
PLATINUM ANESTHESIA PROFESSIONAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA DIRENZO D.O. (PRESIDENT)
(610) 715-2837
Entity
Organization
Contact information
Practice address
1000 N BROAD ST, LANSDALE, PA 19446-1138
(610) 715-2837
Mailing address
1022 BAYBERRY LN, COLLEGEVILLE, PA 19426-3242
(610) 715-2837
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
05/16/2006
Last updated
09/03/2008
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