Organization
KIMMEL NASAL AND SINUS CENTER
Active
Organization
KIMMEL NASAL AND SINUS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE FENSTERMACHER (CREDENTIALING MANAGER)
(570) 366-4606
Entity
Organization
Contact information
Practice address
2211 QUARRY DR, SUITE E58C, WEST LAWN, PA 19609-1161
(610) 927-5394
(610) 927-5796
Mailing address
2211 QUARRY DR, SUITE E58C, WEST LAWN, PA 19609-1161
(610) 927-5394
(610) 927-5796
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
05/22/2012
Last updated
05/22/2012
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