Individual
NITI AGARWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
470 SENTRY PKWY E STE 200, BLUE BELL, PA 19422-2332
(610) 825-5800
(610) 397-0980
Mailing address
1168 PEBBLE SPRING DR, BERWYN, PA 19312-2147
(413) 896-6370
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD458507
PA
207KA0200X
Allergy Physician
C10011774
DE
208000000X
Pediatrics Physician
C10011774
DE
2080P0201X
Pediatric Allergy/Immunology Physician
C10011774
DE
Other
Enumeration date
04/15/2010
Last updated
07/21/2022
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