Provider Demographics
NPI:1912960907
Name:IMBER, ARLENE P (DO)
Entity Type:Individual
Prefix:DR
First Name:ARLENE
Middle Name:P
Last Name:IMBER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:507 FLORAL VALE BLVD
Mailing Address - Street 2:
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-5512
Mailing Address - Country:US
Mailing Address - Phone:215-860-3455
Mailing Address - Fax:215-860-3457
Practice Address - Street 1:507 FLORAL VALE BLVD
Practice Address - Street 2:
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067-5512
Practice Address - Country:US
Practice Address - Phone:215-860-3455
Practice Address - Fax:215-860-3457
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-10
Last Update Date:2011-11-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS005860L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
D72405Medicare UPIN
PA484805W9TMedicare PIN