Individual
IAN DENNIS HOLGADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
93 W DEVON DR, SUITE 100, EXTON, PA 19341-3062
(610) 321-0200
(610) 594-2625
Mailing address
412 CREAMERY WAY, SUITE 400, EXTON, PA 19341-2551
(610) 594-7590
(610) 594-2625
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS012508
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102434521
—
PA
Enumeration date
06/03/2006
Last updated
07/21/2022
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