Provider Demographics
NPI:1568579639
Name:NEPHROLOGY ASSOCIATES OF DELAWARE COUNTY PC
Entity Type:Organization
Organization Name:NEPHROLOGY ASSOCIATES OF DELAWARE COUNTY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DIANNA
Authorized Official - Middle Name:C
Authorized Official - Last Name:FALKOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-863-6171
Mailing Address - Street 1:2821 ISLAND AVE
Mailing Address - Street 2:SUITE 131
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19153-2300
Mailing Address - Country:US
Mailing Address - Phone:215-863-6171
Mailing Address - Fax:215-863-2364
Practice Address - Street 1:2821 ISLAND AVE
Practice Address - Street 2:SUITE 131
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19153-2300
Practice Address - Country:US
Practice Address - Phone:215-863-6171
Practice Address - Fax:215-863-2364
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-24
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty