Organization
ADVANCED VASCULAR AND WOUND ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN MOUNT (NURSE PRACTICIONER)
(856) 845-5344
Entity
Organization
Contact information
Practice address
1503 LANSDOWNE AVE, SUITE 3006, DARBY, PA 19023-1330
(610) 237-2584
Mailing address
2009 STONE RIDGE LN, VILLANOVA, PA 19085-1723
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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