University Of Penn-dental Med Asst

NPI 1598034639 - Internal Medicine - 207R00000X

NPI Details
NPI 1598034639
Enumeration Date 12/19/2011
Last Updated 01/05/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name GARY W GARY
Position MD
Phone (215) 662-2450
Fax
Practice Location
3400 CIVIC CENTER BLVD
1 EAST PAVILION
PHILADELPHIA PA, 19104-5127, US
Phone (215) 662-2450
Fax
Business Location
3400 CIVIC CENTER BLVD
1 EAST PAVILION
PHILADELPHIA PA, 19104-5127, US
Phone (215) 662-2450
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Pennsylvania
License Number MD028425E
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According to our database, University Of Penn-dental Med Asst NPI is 1598034639, taxonomy code is 207R00000X and license number is MD028425E, license state is located at Pennsylvania. University Of Penn-dental Med Asst physically located at 3400 Civic Center Blvd, Philadelphia PA, 19104-5127. NPI Number 1033115704 has the healthcare provider type.

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1598034639 NPI number is provided on an as is basis without warranty of any kind. 1598034639 is maintained by the National Plan & Provider Enumeration System. The contents of University Of Penn-dental Med Asst are for informational purposes only.