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1114100336
PENNSPORT INTERNAL MEDICINE GROUP, PC
PHILA, PA
NPI
1114100336
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Entity Type
Organization
Authorized Contact
KENNETH WINOKUR
President
215-389-6120
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: PA os003325l)
Enumeration Date
2007-12-11
Last Update Date
2016-04-18
Business Address
PENNSPORT INTERNAL MEDICINE GROUP, PC
1817 S 2ND ST
PHILA, PA 19148-1945
Phone number: 215-389-3368
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Mailing Address
PENNSPORT INTERNAL MEDICINE GROUP, PC
1817 S 2ND ST
PHILA, PA 19148-1945
Phone number: 215-389-3368
Copy
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