Organization
E.H. MANAGEMENT COMPANY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUISA KIPERVAS (MANAGER)
(215) 967-1079
Entity
Organization
Contact information
Practice address
67 BUCK RD, B9, HUNTINGDON VALLEY, PA 19006-1535
(215) 967-1079
Mailing address
67 BUCK RD, B9, HUNTINGDON VALLEY, PA 19006-1535
(215) 967-1079
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD011807E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006715890001
—
PA
01
—
3698449000
INDEPENDENCE BLUE CROSS
PA
Enumeration date
06/07/2013
Last updated
06/07/2013
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