Organization
SOMERTON PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM FRANCIS O'CONNELL M.D. (PRESIDENT)
(215) 934-5437
Entity
Organization
Contact information
Practice address
14500 BUSTLETON AVE, LOWER LEVEL, PHILADELPHIA, PA 19116-1188
(215) 934-5437
(215) 934-7610
Mailing address
14500 BUSTLETON AVE, LOWER LEVEL, PHILADELPHIA, PA 19116-1188
(215) 934-5437
(215) 934-7610
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD033660E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0106211503
—
PA
Enumeration date
05/20/2006
Last updated
07/14/2008
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