Healthcare Provider Details

I. General information

NPI: 1760790265
Provider Name (Legal Business Name): CFL ASSOCIATES LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2010
Last Update Date: 04/25/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 W LANCASTER AVE
PAOLI PA
19301-1763
US

IV. Provider business mailing address

100 E LANCASTER AVE LANKEANU MOBE, SUITE 558
WYNNEWOOD PA
19096-3450
US

V. Phone/Fax

Practice location:
  • Phone: 484-476-2684
  • Fax: 484-476-1658
Mailing address:
  • Phone: 484-476-2684
  • Fax: 484-476-1658

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 R KOWEY
Title or Position: PRESIDENT
Credential: M.D.
Phone: 484-476-2684