Individual
ROI ALTIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1203 LANGHORNE NEWTOWN RD STE 320, LANGHORNE, PA 19047
(215) 750-7818
(215) 752-0436
Mailing address
4351 E LOHMAN AVE, LAS CRUCES, NM 88011-8259
(755) 214-0065
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
MD2023-1666
NM
207RI0011X
Interventional Cardiology Physician
MD450615
PA
Other
Enumeration date
05/07/2009
Last updated
06/11/2024
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