Organization
EXECUTIVE HEALTH RESOURCES CLINICAL STAFFING SOLUTIONS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT CORRATO M.D. (CEO)
(484) 454-6262
Entity
Organization
Contact information
Practice address
15 CAMPUS BLVD, SUITE 200, NEWTOWN SQUARE, PA 19073-3200
(484) 454-6268
(610) 789-6158
Mailing address
15 CAMPUS BLVD, SUITE 200, NEWTOWN SQUARE, PA 19073-3200
(484) 454-6268
(610) 789-6158
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012282060001
—
PA
01
—
1660744
BLUE SHIELD
PA
Enumeration date
07/01/2006
Last updated
04/20/2008
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