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1053348953
INDEPEDENCE MEDICAL ASSOCIATES P.C.
PHILADELPHIA, PA
NPI
1053348953
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Entity Type
Organization
Authorized Contact
JAY GLICKMAN
Physician
215-612-1450
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: PA OS 009194-L)
Enumeration Date
2006-06-27
Last Update Date
2008-10-27
Business Address
INDEPEDENCE MEDICAL ASSOCIATES P.C.
3790 MORRELL AVE
PHILADELPHIA, PA 19114-1955
Phone number: 215-612-1450
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Mailing Address
INDEPEDENCE MEDICAL ASSOCIATES P.C.
3790 MORRELL AVE
PHILADELPHIA, PA 19114-1955
Phone number: 215-612-1450
Copy
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