Organization Name: | DR. P. PILLA PA |
NPI Number: | 1568775252 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD PILLA (PRESIDENT) |
Mailing Address: | 3020 Chapel Ave. W Cherry Hill |
State: | NJ US |
Postal Code: | 080021562 |
Phone Number: | 8566731751 |
Fax Number: | 2062031075 |
NPI Enumeration Date: | 07/22/2010 |
NPI Last Update Date: | 07/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 25MB04457600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |