Organization
PULMONOLOGY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD DUANE PETERSON MD (PRESIDENT)
(610) 642-3796
Entity
Organization
Contact information
Practice address
100 E LANCASTER AVE, SUITE 230, WYNNEWOOD, PA 19096-3450
(610) 642-3796
(610) 642-2943
Mailing address
100 E LANCASTER AVE, SUITE 230, WYNNEWOOD, PA 19096-3450
(610) 642-3796
(610) 642-2943
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010768900007
—
PA
Enumeration date
07/05/2006
Last updated
07/14/2011
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