Provider Demographics
NPI:1114363181
Name:RIDDLE ENDOCRINOLOGY & METABOLISM ASSOC, PC
Entity Type:Organization
Organization Name:RIDDLE ENDOCRINOLOGY & METABOLISM ASSOC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:REX
Authorized Official - Middle Name:K
Authorized Official - Last Name:KESSLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-876-2300
Mailing Address - Street 1:PO BOX 1897
Mailing Address - Street 2:
Mailing Address - City:BOOTHWYN
Mailing Address - State:PA
Mailing Address - Zip Code:19061-7897
Mailing Address - Country:US
Mailing Address - Phone:610-876-2300
Mailing Address - Fax:610-876-3004
Practice Address - Street 1:2901 DUTTON MILL RD STE 110
Practice Address - Street 2:
Practice Address - City:ASTON
Practice Address - State:PA
Practice Address - Zip Code:19014-2850
Practice Address - Country:US
Practice Address - Phone:610-876-2300
Practice Address - Fax:610-876-3004
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RIDDLE ENDOCRINOLOGY & METABOLISM ASSOC, PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-05-17
Last Update Date:2013-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty