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1194443481
AMANDA QUINTINO MARTINS LARA
PHILADELPHIA, PA
NPI
1194443481
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: PA MT226074)
Enumeration Date
2022-08-22
Last Update Date
2022-08-22
Business Address
AMANDA QUINTINO MARTINS LARA MD
5501 OLD YORK RD
PHILADELPHIA, PA 19141-3018
Phone number: 215-456-8220
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Mailing Address
AMANDA QUINTINO MARTINS LARA MD
5501 OLD YORK RD
PHILADELPHIA, PA 19141-3018
Phone number:
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