Individual
DR. JOHN T DEBARDELEBEN IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5501 OLD YORK ROAD, ALBERT EINSTEIN MEDICAL CENTER, PHILADELPHIA, PA 19141
(800) 220-2362
Mailing address
5501 OLD YORK ROAD, ALBERT EINSTEIN MEDICAL CENTER, PHILADELPHIA, PA 19141
(800) 220-2362
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MT202279
PA
Other
Enumeration date
06/25/2012
Last updated
07/06/2012
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