Organization
T.KUMAR PENDURTHI SURGICAL ASSOCIATES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KUMAR T PENDURTHI M.D. (PHYSICIAN)
(610) 882-0199
Entity
Organization
Contact information
Practice address
3600 FAIRVIEW ST, BETHLEHEM, PA 18017-8923
(610) 882-0199
(610) 882-2814
Mailing address
3600 FAIRVIEW ST, BETHLEHEM, PA 18017-8923
(610) 882-0199
(610) 882-2814
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD055454L
PA
2086X0206X
Surgical Oncology Physician
MD055454L
PA
Other
Enumeration date
04/25/2008
Last updated
01/14/2011
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