| Suburban Multispecialty Limited, Llc | |
|
1 Belmont Avenue Suite 416 Bala Cynwyd PA 19004-1607 | |
| (610) 667-4080 | |
| (610) 667-2748 |
| Full Name | Suburban Multispecialty Limited, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1 Belmont Avenue, Bala Cynwyd, Pennsylvania |
| Authorized Official Name and Position | Dina Jean Dubrow (PRACTICE MANAGER) |
| Authorized Official Contact | 6106674080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suburban Multispecialty Limited, Llc 1 Belmont Avenue Suite 416 Bala Cynwyd PA 19004-1607 Ph: (610) 667-4080 | Suburban Multispecialty Limited, Llc 1 Belmont Avenue Suite 416 Bala Cynwyd PA 19004-1607 Ph: (610) 667-4080 |
| NPI Number | 1962803031 |
|---|---|
| Provider Enumeration Date | 09/09/2014 |
| Last Update Date | 09/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962803031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS-009268L (Pennsylvania) | Primary |
| 207YS0123X | Otolaryngology - Facial Plastic Surgery | OS.015962 (Pennsylvania) | Secondary |
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