Providence Ear Nose & Throat Associates INC
NPI #1619437654 in Glen Mills, Pennsylvania
Provider Information
- NPI Number
- 1619437654
- Entity Type
- Organization
- Organization Name
- Providence Ear Nose & Throat Associates INC
- Primary Specialty
- Otolaryngology
- Enumeration Date
- Mar 25, 2019
- Last Updated
- Mar 25, 2019
Practice Location
- Address
- 500 EVERGREEN DR STE 18
- City
- Glen Mills
- State
- Pennsylvania
- ZIP Code
- 19342-1032
- Phone
- (610) 495-3495
Authorized Official
- Name
- JOHN M FEEHERY, MD
- Title
- AUTHORIZED OFFICIAL
- Phone
- (610) 874-5366
Specialties & Taxonomy Codes
| Specialty |
|---|
| Otolaryngology |
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