Organization
PROVIDENCE EAR NOSE & THROAT ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN M FEEHERY MD (AUTHORIZED OFFICIAL)
(610) 874-5366
Entity
Organization
Contact information
Practice address
500 EVERGREEN DR STE 18, GLEN MILLS, PA 19342-1032
(610) 495-3495
(610) 459-3237
Mailing address
2112 PROVIDENCE AVE, CHESTER, PA 19013-5507
(610) 874-5366
(610) 874-8448
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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