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1144516857
CARLY ELLIS
PHILADELPHIA, PA
NPI
1144516857
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Former Name
CARLY DAVIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: PA OS016464)
Enumeration Date
2011-06-21
Last Update Date
2014-05-24
Business Address
Dr. CARLY ELLIS D.O.
4190 CITY LINE AVE
PHILADELPHIA, PA 19131-1626
Phone number: 215-871-6693
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Mailing Address
Dr. CARLY ELLIS D.O.
134 ELFRETHS ALY
PHILADELPHIA, PA 19106-2006
Phone number:
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