Organization
DR. MAGNER AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK J. MAGNER R.D. (CEO)
(610) 430-9043
Entity
Organization
Contact information
Practice address
20 S 69TH ST, 6TH FLOOR, UPPER DARBY, PA 19082-2528
(610) 430-9043
(610) 399-0459
Mailing address
PO BOX 567, WESTTOWN, PA 19395-0567
(610) 430-9043
(610) 399-0459
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
DN002133
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024603250001
—
PA
Enumeration date
12/18/2011
Last updated
12/23/2011
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