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1013533124
CARLY DEFARIA
PHILADELPHIA, PA
NPI
1013533124
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: PA MD482282)
Enumeration Date
2020-06-24
Last Update Date
2023-10-25
Business Address
CARLY DEFARIA
5501 OLD YORK RD
PHILADELPHIA, PA 19141-3018
Phone number: 215-456-7890
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Mailing Address
CARLY DEFARIA
5501 OLD YORK RD
PHILADELPHIA, PA 19141-3018
Phone number:
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