Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Mar 30, 2020
License(s)
334565 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 622 W 168TH ST | New York, NY 10032-3720 | 212-305-8193 |
| MAILING | 3737 MARKET ST | Philadelphia, PA 19104-5545 |
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