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1003804907
KEITH MCNELLIS
PHILADELPHIA, PA
NPI
1003804907
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: PA MD422449)
Enumeration Date
2005-10-13
Last Update Date
2018-04-10
Business Address
KEITH MCNELLIS MD
3401 N BROAD ST
PHILADELPHIA, PA 19140-5103
Phone number: 215-707-1622
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Mailing Address
KEITH MCNELLIS MD
2450 W HUNTING PARK AVE
PHILADELPHIA, PA 19129-1302
Phone number: 215-707-1622
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