Organization
PULMONARYDISEASESLTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN ANN HERTZ (MEDICAL ADMINISTRATOR)
(610) 952-0888
Entity
Organization
Contact information
Practice address
520 MAPLE AVE, SUITE 3, WEST CHESTER, PA 19380-4434
(610) 952-0888
(610) 524-2314
Mailing address
505 BENTLEY CT, EXTON, PA 19341-2359
(610) 952-0888
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD018425E
PA
Other
Enumeration date
05/21/2006
Last updated
08/22/2020
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