Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Jun 16, 2006
License(s)
25MA08009700 (NJ), MD072183L (PA), MD072183L (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1 CRESCENT DR STE 401 | Philadelphia, PA 19112-1015 | 800-321-9999 |
| MAILING | 833 CHESTNUT ST STE 520 | Philadelphia, PA 19107-4430 | 267-562-6191 |
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