Individual
ALFRED W IMBODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2301 S BROAD ST, 1ST FLOOR, PHILADELPHIA, PA 19148-3542
(215) 952-9323
Mailing address
2301 S BROAD ST, 1ST FLOOR, PHILADELPHIA, PA 19148-3542
(215) 952-9323
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
26NR11843500
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
RN540700
PA
Other
Enumeration date
03/29/2007
Last updated
02/28/2013
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