Providence Medical Associates, INC

NPI #1376575100 in Aston, Pennsylvania

Provider Information

NPI Number: 1376575100
Entity Type: Organization
Organization Name: Providence Medical Associates, INC
Primary Specialty: Internal Medicine
Enumeration Date: Jul 6, 2006
Last Updated: Oct 3, 2012

Practice Location

Address: 2901 DUTTON MILL RD
Address 2: STE 110
City: Aston
State: Pennsylvania
ZIP Code: 19014-2849
Phone: (610) 876-2300

Authorized Official

Name: DR. REX K KESSLER, MD
Title: OWNER MEDICAL DIRECTOR
Phone: (610) 876-2300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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