Organization
INFECTIOUS DISEASES MEDICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK GILBERT M.D. (MANAGER)
(610) 237-5816
Entity
Organization
Contact information
Practice address
1503 LANSDOWNE AVE., SUITE 3010, DARBY, PA 19023-1308
(610) 237-5816
Mailing address
1503 LANSDOWNE AVE., SUITE 3010, DARBY, PA 19023-1308
(610) 237-5816
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD025745E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009816070002
—
PA
Enumeration date
06/25/2008
Last updated
06/25/2008
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