Organization
A. WAYNE TRONCELLITI, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFRED WAYNE TRONCELLITI M.D. (OWNER)
(610) 642-0650
Entity
Organization
Contact information
Practice address
1522 WYNNEWOOD RD, ARDMORE, PA 19003-2719
(610) 642-0650
(610) 642-5118
Mailing address
1522 WYNNEWOOD RD, ARDMORE, PA 19003-2719
(610) 642-0650
(610) 642-5118
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD035270L
PA
Other
Enumeration date
03/31/2007
Last updated
12/03/2012
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