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1255378667
MARY JANE ELLISON
PHILADELPHIA, PA
NPI
1255378667
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: PA MD031521E)
Enumeration Date
2006-06-02
Last Update Date
2007-07-08
Business Address
-- MARY JANE ELLISON M.D.
7600 CENTRAL AVE RADIOLOGY DEPARTMENT
PHILADELPHIA, PA 19111-2442
Phone number: 215-728-2162
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Mailing Address
-- MARY JANE ELLISON M.D.
1001 BRIGGS RD SUITE 210
MOUNT LAUREL, NJ 08054-4100
Phone number: 856-231-4774
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