Dma, Pc is a Specialist in Bala Cynwyd, Pennsylvania. Dma, Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Dma, Pc is 1114050127. The last update date is 2007-11-19.
Dma, Pc's current location address is 100 Presidential Blvd, Bala Cynwyd, Pennsylvania. You can contact this provider via phone number 6106642100 and fax number 6106642178. The mailing address for Dma, Pc is 100 Presidential Blvd, Bala Cynwyd, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dma, Pc |
|---|---|
| Address | 100 Presidential Blvd, Bala Cynwyd, Pennsylvania |
| Phone Number | 6106642100 |
| Fax Number | 6106642178 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Guthrie Michael |
| Credentials | MD |
| Telephone Number | 6106642100 |
NPI Number Detail
| NPI Number | 1114050127 |
|---|---|
| Provider Enumeration Date | 2007-03-13 |
| Last Updated Date | 2007-11-19 |
Provider Mailing Address Detail
| Address | 100 Presidential Blvd |
|---|---|
| City | Bala Cynwyd |
| State | Pennsylvania (PA) |
| Post Code | 190041108 |
| Phone Number | 6106642100 |
| Fax Number | 6106642178 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | MD066100L |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the Dma, Pc's unique identification number?
The Dma, Pc has been assigned the NPI (National Provider Identifier) Number 1114050127 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Dma, Pc?
The Dma, Pc is situated at 100 Presidential Blvd, in the city of Bala Cynwyd, state of PA, with the zip code 190041108.
What is Dma, Pc's area of expertise and its corresponding taxonomy classification?
The Dma, Pc's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
When was the Dma, Pc's 1114050127 issued?
The Dma, Pc's 1114050127 was issued on 2007-03-13.
As of what date were the details pertaining to Dma, Pc last refreshed?
The information related to the Dma, Pc, including its address, specialty, and other relevant details, was last updated on 2007-11-19.
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