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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