Organization
HEALTHSTEP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUKE BRYANT IDTF (PRESIDENT)
(800) 434-6070
Entity
Organization
Contact information
Practice address
14 WINTERBERRY LN, GIBBSBORO, NJ 08026-1509
(800) 434-6070
Mailing address
2511 S BROAD ST, PHILADELPHIA, PA 19148-4309
(800) 434-6070
(215) 467-9110
Taxonomy
Speciality
Code
Description
License number
State
246XC2903X
Vascular Specialist/Technologist Cardiovascular
Primary
—
—
Other
Enumeration date
07/09/2006
Last updated
12/14/2007
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