Glenolden Medical Associates, LTD.

Organization Active NPI Internal Medicine Physician · Glenolden, PA

NPI 1124135975 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1124135975
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
GLENOLDEN MEDICAL ASSOCIATES, LTD.
Practice address
39 S Chester Pike
Glenolden, PA 19036-1830
Phone
(610) 583-8810
Fax
(610) 583-0394
NPI assigned
Aug 25, 2006
Organization subpart
No

Authorized official

Name
Michale Keshishian, M.D.
Title
President
Phone
(610) 583-8810

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207R00000X Yes

Addresses

Primary practice location

39 S Chester Pike
Glenolden, PA 19036-1830

Mailing address

39 S Chester Pike
Glenolden, PA 19036-1830
Phone (610) 583-8810

Other providers in Glenolden, PA

All providers in Glenolden, PA · Internal Medicine Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.