Organization
SUBURBAN PULMONARY MEDICINE, P. C.
Active
Organization
SUBURBAN PULMONARY MEDICINE, P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANNON JEAN PETTIT (OFFICE MANAGER)
(610) 521-1300
Entity
Organization
Contact information
Practice address
1 BARTOL AVE, SUITE 14, RIDLEY PARK, PA 19078-2214
(610) 521-1300
(610) 521-9074
Mailing address
1 BARTOL AVE, SUITE 14, RIDLEY PARK, PA 19078-2214
(610) 521-1300
(610) 521-9074
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
07/21/2006
Last updated
08/22/2020
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