National Provider Identifier Database

DELAWARE VALLEY AESTHETICS LLC
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

DELAWARE VALLEY AESTHETICS, LLC
19 MONTGOMERY AVE
BALA CYNWYD, PA19004-2601
Phone: 610-667-6441
Fax: 610-664-3182
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for DELAWARE VALLEY AESTHETICS, LLC

NPI Number 1124350541
Legal business name
LBN
DELAWARE VALLEY AESTHETICS, LLC
Authorized official KATHY RUMER - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 02/10/2010
Last updated 02/10/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • PA License #: OS012060
  • PA Medicaid: 1020333620001

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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