Organization
CHESTNUT HILL PULMONARY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL S LAGNESE D.O. (MANAGING MEMBER)
(215) 837-5855
Entity
Organization
Contact information
Practice address
8815 GERMANTOWN AVE, SUITE 12, PHILADELPHIA, PA 19118-2722
(215) 247-8070
Mailing address
109 SAWGRASS DR, BLUE BELL, PA 19422-3209
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
OS008616L
PA
Other
Enumeration date
06/08/2010
Last updated
08/31/2010
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