Individual
CHARLES F ORELLANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 BALA PLAZA, SUITE IL-27, BALA CYNWYD, PA 19004-1501
(610) 668-9999
(610) 668-7188
Mailing address
2 BALA PLAZA, SUITE IL-27, BALA CYNWYD, PA 19004-1501
(610) 668-9999
(610) 668-7188
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD053755L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015394640003
—
PA
Enumeration date
07/04/2006
Last updated
04/04/2012
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