Individual
MR. IRA SCOTT CANTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1220 VALLEY FORGE RD, SUITE 35 36, PHOENIXVILLE, PA 19460-2676
(610) 933-1688
(610) 983-0698
Mailing address
1220 VALLEY FORGE RD, SUITE 35/36, PHOENIXVILLE, PA 19460-2676
(610) 933-1688
(610) 983-0698
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD031731E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096852503
—
PA
Enumeration date
06/14/2006
Last updated
07/08/2007
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