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1093558413
KIMBERLY NICOLE ORTIZ DE SOUSA
PHILADELPHIA, PA
NPI
1093558413
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: PA MT231711)
Enumeration Date
2024-06-13
Last Update Date
2024-06-19
Business Address
KIMBERLY NICOLE ORTIZ DE SOUSA MD
3401 N BROAD ST
PHILADELPHIA, PA 19140-5103
Phone number: 800-836-7536
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Mailing Address
KIMBERLY NICOLE ORTIZ DE SOUSA MD
3500 N BROAD ST
PHILADELPHIA, PA 19140-4106
Phone number:
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