Doctor Name: | CYRIL DAVID |
NPI Number: | 1376962662 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CRNP |
License Number: | SP013650 |
Business Practice Address: | 1860 Brownsville Rd Rediclinic Trevose, PA - 190533502 |
Business Phone Number: | 2153224107 |
Business Fax Number: | 2153557021 |
Mailing Address: | 1860 Brownsville Rd, Rediclinic TREVOSE |
State: | PA |
Postal Code: | 190533502 |
Phone Number: | 2153224107 |
Fax Number: | 2153557021 |
NPI Enumeration Date: | 04/15/2014 |
NPI Last Update Date: | 01/28/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | SP013650 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |