Registry details
Type
Individual
Primary specialty
Internal Medicine, Pulmonary Disease
Enumerated
Jan 24, 2012
License(s)
25MA10323400 (NJ), MD454396 (PA), MD454396 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 3200 EMERALD EDGE DR | Wylie, TX 75098-1276 | 717-202-7344 |
| MAILING | 3421 CONCORD RD | York, PA 17402-9001 | 717-851-1405 |
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