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1200 Constitution Ave Suite 110 Philadelphia PA 19112-1329 | |
| (267) 592-3200 | |
| (888) 393-3980 |
| Full Name | |
|---|---|
| Speciality | Surgery |
| Location | 1200 Constitution Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Ann Marie O'shea (CEO) |
| Authorized Official Contact | 2675923200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1200 Constitution Ave Suite 110 Philadelphia PA 19112-1329 Ph: (267) 592-3200 | 1200 Constitution Ave Suite 110 Philadelphia PA 19112-1329 Ph: (267) 592-3200 |
| NPI Number | 1912371048 |
|---|---|
| Provider Enumeration Date | 12/01/2015 |
| Last Update Date | 02/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912371048 | NPI | - | NPPES |
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