Organization
PROVIDENCE EAR NOSE & THROAT ASSOCIATES INC
Active
Organization
PROVIDENCE EAR NOSE & THROAT ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN M FEEHERY MD (AUTHORIZED OFFICIAL)
(610) 874-5366
Entity
Organization
Contact information
Practice address
2112 PROVIDENCE AVE, CHESTER, PA 19013-5507
(610) 874-5366
(610) 874-8448
Mailing address
2112 PROVIDENCE AVE, CHESTER, PA 19013-5507
(610) 874-5366
(610) 874-8448
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000686231
—
PA
Enumeration date
10/18/2006
Last updated
04/21/2021
Update your record
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