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NPI Provider: 1588669261
Contact Name: FORMAN Wade PHYLLIS
Position: PRESIDENT
Phone: (215) 677-4486
Associated Medical Specialties Information:
Associated Medical Specialties organization have npi 1588669261, taxonomy code is 332BX2000X with license number is 8000000475 in . This Business address located in 2901 Southampton Rd, Phila, PA 19154 Pennsylvania. Get directions of Associated Medical Specialties.
Practice Location
Address: 2901 Southampton Rd, Phila, PA 19154
Phone: (215) 677-4486
Business Location
Address: 2901 Southampton Rd, Phila, PA 19154
Phone: (215) 677-4486
Fax: (215) 677-3644
Taxonomy
Taxonomy Code: 332BX2000X
License Number: 8000000475
License Number of State: PA
Primary Taxonomy Switch: Y
Enumeration Date: 6/17/2005
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