Provider Demographics
NPI:1093826547
Name:BRYN MAWR NEPHROLOGY ASSOC. LTD
Entity Type:Organization
Organization Name:BRYN MAWR NEPHROLOGY ASSOC. LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:R
Authorized Official - Last Name:ZAPPACOSTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-825-8110
Mailing Address - Street 1:830 OLD LANCASTER RD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010
Mailing Address - Country:US
Mailing Address - Phone:610-525-8110
Mailing Address - Fax:484-380-3525
Practice Address - Street 1:830 OLD LANCASTER RD
Practice Address - Street 2:SUITE 206
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010
Practice Address - Country:US
Practice Address - Phone:610-525-8110
Practice Address - Fax:484-380-3525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2021-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty