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1164519021
MARA UNDERWOOD
BRYN MAWR, PA
NPI
1164519021
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: PA MD027308E)
Enumeration Date
2006-10-10
Last Update Date
2007-07-08
Business Address
-- MARA UNDERWOOD MD
130 S BRYN MAWR AVE
BRYN MAWR, PA 19010-3121
Phone number: 610-526-3000
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Mailing Address
-- MARA UNDERWOOD MD
255 W. MICHIGAN
JACKSON, MI 49201-1123
Phone number: 517-787-6440
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