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Individual

DR. PATRICK MICHAEL VANNELLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
470 SENTRY PKWY E, SUITE 200, BLUE BELL, PA 19422-2332
(610) 825-5800
(610) 397-0980
Mailing address
470 SENTRY PKWY E, SUITE 200, BLUE BELL, PA 19422-2332
(610) 825-5800
(610) 397-0980

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
25MA08337000
NJ
207K00000X
Allergy & Immunology Physician
C1-0007957
DE
207K00000X
Allergy & Immunology Physician
Primary
MD428062
PA

Other

Enumeration date
03/12/2007
Last updated
02/07/2017
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