Registry details
Type
Individual
Primary specialty
Internal Medicine
Enumerated
Aug 12, 2006
License(s)
os012350 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 8500-6335 | Philadelphia, PA 19178-6335 | 215-807-8000 |
| LOCATION | 5000 FRANKFORD AVE SUITE 1 | Philadelphia, PA 19124-2620 | 215-331-2405 |
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