Individual
KEITH VAN ARSDALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE STREET, 9 PENN TOWER, PHILADELPHIA, PA 19104
(215) 662-2891
Mailing address
3400 SPRUCE STREET, 9 PENN TOWER, PHILADELPHIA, PA 19104
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD027218E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012000700005
—
PA
Enumeration date
05/27/2006
Last updated
05/09/2011
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