Organization
BROKER,CRAMER & SWANSON ENT, PC
Active
Other names
ENT & ALLERGY SPECIALISTS
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY MANDERACH (CREDENTIALING)
(610) 415-1100
Entity
Organization
Contact information
Practice address
825 OLD LANCASTER RD STE 300, BRYN MAWR, PA 19010-3235
(610) 415-1100
(610) 415-1101
Mailing address
826 MAIN ST STE 201, PHOENIXVILLE, PA 19460-4459
(610) 415-1100
(610) 415-1101
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
—
—
207YS0123X
Facial Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017758550008
—
PA
Enumeration date
07/06/2022
Last updated
07/06/2022
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