Individual
MICHAEL EZEKOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1999 SPROUL RD, STE 26, BROOMALL, PA 19008-3508
(610) 353-6400
(610) 525-2114
Mailing address
214 N ITHAN AVE, VILLANOVA, PA 19085-1936
(610) 353-6400
(610) 525-2114
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD070937L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00180241420003
—
PA
Enumeration date
01/30/2006
Last updated
01/15/2015
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