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1174513105
MARK HYSELL
PHILADELPHIA, PA
NPI
1174513105
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0204X Radiology, Vascular & Interventional Radiology
(Licence: PA OS008550L)
Enumeration Date
2005-10-21
Last Update Date
2007-07-08
Business Address
-- MARK HYSELL DO
BROAD & VINE ST S
PHILADELPHIA, PA 19102
Phone number: 215-762-4312
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Mailing Address
-- MARK HYSELL DO
BROAD AND VINE ST S MS 310
PHILADELPHIA, PA 19102
Phone number: 215-762-4312
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