Registry details
Type
Individual
Primary specialty
Internal Medicine, Rheumatology
Enumerated
May 15, 2017
License(s)
MT214349 (PA), MD470499 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 5401 OLD YORK RD BLDG SUTE202 | Philadelphia, PA 19141-3030 | 215-456-7380 |
| LOCATION | 3400 SPRUCE STREET 5 MALONEY | Philadelphia, PA 19104 | 267-251-5395 |
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