| Tara Lyn Cuda, D.o., P.c. | |
|
2230 S Broad St Philadelphia PA 19145-3950 | |
| (215) 334-3869 | |
| (215) 755-3300 |
| Full Name | Tara Lyn Cuda, D.o., P.c. |
|---|---|
| Speciality | Internal Medicine - Sports Medicine |
| Location | 2230 S Broad St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Tara Lyn Cuda (PRESIDENT) |
| Authorized Official Contact | 2153343869 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Lyn Cuda, D.o., P.c. 2230 S Broad St Philadelphia PA 19145-3950 Ph: (215) 334-3869 | Tara Lyn Cuda, D.o., P.c. 2230 S Broad St Philadelphia PA 19145-3950 Ph: (215) 334-3869 |
| NPI Number | 1225278963 |
|---|---|
| Provider Enumeration Date | 02/20/2009 |
| Last Update Date | 02/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225278963 | NPI | - | NPPES |
| 2038856 | Other | PA | HBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RS0010X | Internal Medicine - Sports Medicine | (* (Not Available)) | Primary |
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