Organization
HAVERFORD ANESTHESIA ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM ISAACSON (MEDIACL DIRECTOR)
(610) 853-7780
Entity
Organization
Contact information
Practice address
33 SCHOOLHOUSE LN, BROOMALL, PA 19008-1818
(610) 353-6590
Mailing address
2010 W CHESTER PIKE, HAVERTOWN, PA 19083-2700
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN177257L
PA
Other
Enumeration date
05/24/2006
Last updated
08/07/2008
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