Individual
W ALAN KEOGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 MEDICAL CENTER BLVD, STE 341, UPLAND, PA 19013-3902
(610) 619-7420
(610) 876-6923
Mailing address
5 KIRKCALDY DR, WEST CHESTER, PA 19382-7285
(610) 619-7420
(610) 876-6923
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
25MB07696300
NJ
207RH0003X
Hematology & Oncology Physician
C20009108
DE
207RH0003X
Hematology & Oncology Physician
Primary
OS0003816L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001146510-0002
—
PA
Enumeration date
11/03/2005
Last updated
07/11/2012
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