Zachary Riley ATC, LAT

NPI 1093135857 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1093135857
Gender Male
Enumeration Date 04/21/2014
Last Updated 04/21/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
220 N. EDMONDS AVE
N. EDMONDS AVE.
HAVERTOWN PA, 19083, US
Phone (610) 416-5919
Fax
Business Location
220 N EDMONDS AVE
N. EDMONDS AVE.
HAVERTOWN PA, 19083-5022, US
Phone (610) 416-5919
Fax
Toxanomy
Taxonomy Code 2255A2300X
License State New Jersey
License Number 25MT00192700
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According to our database, Zachary Riley ATC, LAT NPI is 1093135857, taxonomy code is 2255A2300X and license number is 25MT00192700, license state is located at New Jersey. Zachary Riley ATC, LAT physically located at 220 N. Edmonds Ave, Havertown PA, 19083. NPI Number Zachary Riley ATC, LAT has the Individual type.

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1093135857 NPI number is provided on an as is basis without warranty of any kind. 1093135857 is maintained by the National Plan & Provider Enumeration System. The contents of Zachary Riley ATC, LAT are for informational purposes only.