Organization
EAST PENN RHEUMATOLOGY ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES L. LUDIVICO M.D. (PRESIDENT)
(610) 868-1336
Entity
Organization
Contact information
Practice address
701 OSTRUM ST STE 302, FOUNTAIN HILL, PA 18015-1152
(610) 868-1336
(610) 882-1133
Mailing address
701 OSTRUM ST STE 302, FOUNTAIN HILL, PA 18015-1152
(610) 868-1336
(610) 882-1133
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD012628E
PA
Other
Enumeration date
02/02/2007
Last updated
06/20/2019
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