Organization
PHILADELPHIA EAR, NOSE & THROAT SURGICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSELLEN MEEHAN TOMCZAK (ADMINISTRATOR)
(215) 423-6670
Entity
Organization
Contact information
Practice address
2340 E ALLEGHENY AVE, PHILA, PA 19134-4433
(215) 423-6670
(215) 423-7787
Mailing address
2340 E ALLEGHENY AVE, PHILA, PA 19134-4433
(215) 423-6670
(215) 423-7787
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD017012E
PA
Other
Enumeration date
06/29/2006
Last updated
01/04/2008
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