Registry details
Type
Organization
Primary specialty
Anesthesiology
Enumerated
Aug 3, 2009
License(s)
MD054720L (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 12000 BUSTLETON AVE SUITE 208 | Philadelphia, PA 19116-2151 | 215-969-2331 |
| LOCATION | 12000 BUSTLETON AVE SUITE 208 | Philadelphia, PA 19116-2151 | 215-969-2331 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.