Organization
EXECUTIVE HEALTH RESOURCES CLINICAL STAFFING SOLUTIONS PC
Active
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
Update your record
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