Healthcare Provider Details

I. General information

NPI: 1629188271
Provider Name (Legal Business Name): CFL ASSOCIATES - BRYN MAWR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 04/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 S BRYN MAWR AVE
BRYN MAWR PA
19010-3121
US

IV. Provider business mailing address

P.O. BOX 536066
PITTSBURGH PA
15253-5902
US

V. Phone/Fax

Practice location:
  • Phone: 484-476-2684
  • Fax:
Mailing address:
  • Phone: 610-734-0611
  • Fax: 610-734-0874

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: PETER KOWEY
Title or Position: CHAIRMAN
Credential: M.D.
Phone: 484-476-2684